Outcome of Antenatally Presenting Posterior Urethral Valves (PUV) in Children.

Autor: Joseph TP; Department of Pediatric Surgery, Baby Memorial Hospital Ltd, Indira Gandhi Road, Calicut, Kerala, India. Correspondence to: Dr Satish Kumar KV, 26/194 A, Sai Sannidhi, Vadakkathparamba, Govindapuram (PO), Calicut 673 016, Kerala, India. jorosamma@yahoo.com., Gopi VK, Babu PR, Satish Kumar KV
Jazyk: angličtina
Zdroj: Indian pediatrics [Indian Pediatr] 2017 Apr 15; Vol. 54 (4), pp. 295-297. Date of Electronic Publication: 2017 Feb 02.
DOI: 10.1007/s13312-017-1092-4
Abstrakt: Background: To analyze the outcome of children with posterior urethral valves who presented with antenatal hydronephrosis.
Methods: A 10-year retrospective review of records of 70 children with posterior urethral valves.
Results: The mean (SD) gestational age at diagnosis was 34 (4.48) weeks, and age at intervention was 130.5 (170.9) days. The nadir creatinine was significantly raised (<1.2 mg/dl) in children with oligohydramnios and diversion.
Conclusion: All boys with antenatally detected hydronephrosis need postnatal evaluation to rule out posterior urethral valves. Short term outcome is improved with postnatal treatments, and longer follow-up is needed to ensure a favourable outcome.
Databáze: MEDLINE
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