Morcos R R, Bissada N K, Alphin T, Hanash K A
Int Surg. 1985 Oct-Dec;70(4):357-60.
Forty patients with posterior urethral valves who were managed at the King Faisal Specialist Hospital between 1977 and 1983 are reviewed. Seventy-two percent of the patients were less than one year old. Diagnosis was established by voiding cystourethrography and confirmed endoscopically. Fifteen of the 16 patients treated by primary transurethral valve ablation had a satisfactory outcome without the need for any further treatment. Cutaneous vesicostomy followed by valve ablation was performed in 15 patients. Vesicoureteric reflux occurred in 62.5% of cases and ceased spontaneously after valve ablation or temporary diversion in one third of the affected cases. Reimplantation was required unilaterally in five cases and bilaterally in four. Nephroureterectomy was performed in six patients. No hospital mortality was encountered in this series.
对1977年至1983年间在费萨尔国王专科医院接受治疗的40例后尿道瓣膜患者进行了回顾性研究。72%的患者年龄小于1岁。通过排尿性膀胱尿道造影确诊，并经内镜证实。16例接受一期经尿道瓣膜切除术治疗的患者中有15例预后良好，无需进一步治疗。15例患者先行皮肤膀胱造瘘术，随后进行瓣膜切除术。62.5%的病例发生膀胱输尿管反流，其中三分之一的受累病例在瓣膜切除或临时改道后反流自行停止。5例患者单侧需要输尿管再植术，4例患者双侧需要输尿管再植术。6例患者接受了肾输尿管切除术。该系列未出现医院死亡病例。
