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Posterior urethral valves with vesical calculus: A rare association

Himanshu Acharya1, N P Dhende, S B Mane

  • 1Department of Paediatric Surgery, SIR J J Group of Hospitals, Mumbai, India.

Journal of Indian Association of Pediatric Surgeons
|April 9, 2010
PubMed

Insights

Posterior urethral valves and bladder stones are common in children. Their co-occurrence can delay diagnosis of the valve, highlighting the need for vigilance in persistent cases.

Area of Science:

  • Pediatric Urology
  • Pediatric Nephrology
  • Medical Diagnostics

Background:

  • Posterior urethral valves (PUV) and bladder calculi are frequent causes of pediatric lower urinary tract obstruction.
  • While individually common, the simultaneous occurrence of PUV and bladder calculi is rarely reported.

Observation:

  • This report details three pediatric cases presenting with both posterior urethral valves and vesical calculi.
  • The presence of bladder calculi may obscure or delay the diagnosis of underlying PUV.

Findings:

  • The co-existence of posterior urethral valves and bladder calculi is a recognized, albeit uncommon, clinical scenario.
  • Vesical calculi can mimic or mask the symptoms of posterior urethral valves, leading to diagnostic challenges.

Implications:

  • Clinicians should maintain a high index of suspicion for posterior urethral valves in children with bladder or urethral calculi.
  • Persistent urinary symptoms post-calculus removal warrant further investigation for underlying conditions like PUV.

Keywords:
Bladder outlet obstructionposterior urethral valvesurethral Calculivesical calculi

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