Shekar P Ashwin, Dumra Anuj, Reddy Dinesh, Patel Hardik
Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Puttaparthi, Andhra Pradesh, India.
Indian J Urol. 2021 Jul-Sep;37(3):283-285. doi: 10.4103/iju.IJU_563_20. Epub 2021 Jul 1.
Posterior urethral valves have myriad presentations based on the severity of obstruction with the milder end of spectrum often termed as mini-valves. The simultaneous occurrence of ureteropelvic junction obstruction and urethral valves has not been described before and is most likely coincidental. Herein, we discuss the management of three boys who had febrile urinary tract infection following pyeloplasty and on evaluation were found to have valves. This article highlights the need for considering these mini-valves as a possibility in boys presenting with symptoms following pyeloplasty so as to avoid delay in diagnosis and unnecessary morbidity in these children.
后尿道瓣膜根据梗阻的严重程度有多种表现形式,在症状较轻的一端常被称为微型瓣膜。肾盂输尿管连接部梗阻和尿道瓣膜同时出现的情况此前未见报道,很可能是巧合。在此,我们讨论了三名男孩的治疗情况,他们在肾盂成形术后出现发热性尿路感染,经评估发现患有瓣膜。本文强调,对于肾盂成形术后出现症状的男孩,有必要考虑存在这些微型瓣膜的可能性,以避免诊断延误和这些儿童出现不必要的发病情况。