Abstract
Amaç: Posterior Uretral Valv (PUV) erkek
çocuklarda görülen bir konjenital anomalidir. Erken
tanı şansı olmadıkça bu hastalar ileri yaşlarda organ
kayıplarına kadar ilerleyebilen sorunlarla
karşılaşabilirler.
Materyal ve Metod: Bu çalışmada; Aralık 2013-
Aralık 2016 tarihleri arasında üniversitemiz tıp
fakültesi hastanesi, üroloji polikliniğine başvuran ve
yapılan tetkikleri sonrası PUV tanısı konulup cerrahi
tedavi uygulanan 22 hastanın sonuçları retrospektif
olarak değerlendirildi.
Bulgular: Hastaların ortalama yaşı 3,36±0,8 yıl (1 ay11
yıl) arasında idi. Tüm hastalara üretrosistoskopi
yapılmış olup 19 hastada (%86,3) Tip I PUV
gözlenirken, 2 hastada Tip III, 1 hastada Tip II PUV
gözlendi. Postoperatif kateterizasyon süresi 4±1,2 gün
olup işlem sonrası 7. gün yapılan üriner
ultrasonografileride 6 (%27,2) hastada azalmış
derecede bilateral hidronefrozun devam ettiği, 2
hastada tek taraflı hidronefrozun devam ettiği
gözlenmiştir. Ortalama kan kreatin değerlerileri
0,65±0,21 mg/dl’ den 0,43±0,63 mg/dl’ e düşmüştür.
Sonuç: PUV; erken tanı konulabildiğinde gerekli
müdahelerle düzeltilebilen bir anomalidir. Prenatal
tanı konulabilmesi için dikkatlice incelenmeli daha
sonra multi-disipliner bir yaklaşımla acil
kateterizasyonu unutmayıp cerrahi açıdan en kısa
sürede müdahale edilmelidir.
References
- 1-Warshaw BL, Edelbrock HH, Ettenger RB, et al. Renal transplantation in children with obstructive uropathy. J Urol 1980; 123: 737-41.
- 2-Robertson WB, Hayes JA. Congenital diaphragmatic obstruction of the male posterior urethra. Br J Urol 1969;41: 592-8.
- 3-Casella DP, Tomaszewski JJ, Ost MC. Posterior urethral valves: renal failure and prenatal treatment. Int J Nephrol 2012; 2012: 351067.
- 4-Dinneen MD, Duffy PG. Posterior urethral valves. Br JUrol 1996;78: 275-81.
- 5- Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol 1919;3: 289-365.
- 6- Ciftci H. Posterior uretral valv ve diger konjenital anomaliler Turkiye Klinikleri J Urology-Special Topics2012; 5; 9-14.
- 7- Hodges SJ, Patel B, McLorie G, et al. Posterior urethral valves. ScientificWorldJournal 2009; 9: 1119-26.
- 8-Tekgül S, Riedmiller H, Dogan HS, et al. EAUGuidelines on Pediatric Urology 2014; 103-9.
- 9- Bajpai M, Dave S, Gupta DK. Factors affecting outcome in the management of posterior urethral valves. Pediatr Surg Int 2001; 17(1): 11-5.
- 10-Denes ED, Barthold JS, González R. Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 1997; 157:1441-3.
- 11-Parkhouse HF, Barrat TM, Dillon MJ, et al Long-term outcome of boys with posterior urethral valves. Br J Urol, 1988; 62: 59-62.
- 12-Schober JM, Dulabon LM, Woodhouse CR Outcome of valve ablation in late-presenting posteriorurethral valves. BJU International 2004; 94: 616-19.
- 13- Silveri M, Adorisio O, Pane A, et al. Fetal monolateral urinoma and neonatal renal function outcome in posterior urethral valves obstruction: the pop-off mechanism. Pediatr Med Chir. 2002; 24:394-6.
- 14- R. Coleman, T. King, C.-D. Nicoara, et al. Nadir creatinine in posterior urethral valves: How high is low enough? Journal of Pediatric Urology 2015; 11: 356.e1-5.
- 15- Hoover DL, Duckett JW Jr. Posterior urethral valves, unilateral reflux and renal dysplasia: a syndrome. J Urol 1982; 128: 994-7.
- 16- Pagano MJ, van Batavia JP, Casale P. Laser ablation in the management of obstructive uropathy in neonates. J Endourol 2015; 29: 611-4.
- 17- Oktar T, Salabas E, Acar O, et al. Residual valve and stricture after posterior urethral valve ablation: how to evaluate? J Pediatr Urol 2013; 9: 184-7.
- 18-Glassberg KI, Schneider M, Haller JO, et al. Observations on persistently dilated ureter after posterior urethral valve ablation. Urology 1982; 20: 20-8.
- 19- Bader M, McCarthy L. What is the efficacy of circumcision in boys with complex urinary tract abnormalities? Pediatr Nephrol 2013; 28: 2267-72.
Abstract
References
- 1-Warshaw BL, Edelbrock HH, Ettenger RB, et al. Renal transplantation in children with obstructive uropathy. J Urol 1980; 123: 737-41.
- 2-Robertson WB, Hayes JA. Congenital diaphragmatic obstruction of the male posterior urethra. Br J Urol 1969;41: 592-8.
- 3-Casella DP, Tomaszewski JJ, Ost MC. Posterior urethral valves: renal failure and prenatal treatment. Int J Nephrol 2012; 2012: 351067.
- 4-Dinneen MD, Duffy PG. Posterior urethral valves. Br JUrol 1996;78: 275-81.
- 5- Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol 1919;3: 289-365.
- 6- Ciftci H. Posterior uretral valv ve diger konjenital anomaliler Turkiye Klinikleri J Urology-Special Topics2012; 5; 9-14.
- 7- Hodges SJ, Patel B, McLorie G, et al. Posterior urethral valves. ScientificWorldJournal 2009; 9: 1119-26.
- 8-Tekgül S, Riedmiller H, Dogan HS, et al. EAUGuidelines on Pediatric Urology 2014; 103-9.
- 9- Bajpai M, Dave S, Gupta DK. Factors affecting outcome in the management of posterior urethral valves. Pediatr Surg Int 2001; 17(1): 11-5.
- 10-Denes ED, Barthold JS, González R. Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 1997; 157:1441-3.
- 11-Parkhouse HF, Barrat TM, Dillon MJ, et al Long-term outcome of boys with posterior urethral valves. Br J Urol, 1988; 62: 59-62.
- 12-Schober JM, Dulabon LM, Woodhouse CR Outcome of valve ablation in late-presenting posteriorurethral valves. BJU International 2004; 94: 616-19.
- 13- Silveri M, Adorisio O, Pane A, et al. Fetal monolateral urinoma and neonatal renal function outcome in posterior urethral valves obstruction: the pop-off mechanism. Pediatr Med Chir. 2002; 24:394-6.
- 14- R. Coleman, T. King, C.-D. Nicoara, et al. Nadir creatinine in posterior urethral valves: How high is low enough? Journal of Pediatric Urology 2015; 11: 356.e1-5.
- 15- Hoover DL, Duckett JW Jr. Posterior urethral valves, unilateral reflux and renal dysplasia: a syndrome. J Urol 1982; 128: 994-7.
- 16- Pagano MJ, van Batavia JP, Casale P. Laser ablation in the management of obstructive uropathy in neonates. J Endourol 2015; 29: 611-4.
- 17- Oktar T, Salabas E, Acar O, et al. Residual valve and stricture after posterior urethral valve ablation: how to evaluate? J Pediatr Urol 2013; 9: 184-7.
- 18-Glassberg KI, Schneider M, Haller JO, et al. Observations on persistently dilated ureter after posterior urethral valve ablation. Urology 1982; 20: 20-8.
- 19- Bader M, McCarthy L. What is the efficacy of circumcision in boys with complex urinary tract abnormalities? Pediatr Nephrol 2013; 28: 2267-72.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Submission Date | October 6, 2017 |
| Acceptance Date | November 22, 2017 |
| Publication Date | December 28, 2017 |
| Published in Issue | Year 2017 Volume: 14 Issue: 3 |
Articles published in this journal are licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC-BY-NC-SA 4.0).