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[Urodynamic profile of voiding disorders persisting after treatment of posterior urethral valve]

L Riah1, K Belhaj1, F Lmidmani1

  • 1Service de médecine physique et de réadaptation fonctionnelle, CHU Ibn Rochd, Casablanca, Maroc.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|December 3, 2014
PubMed

Insights

Posterior urethral valves (PUV) can lead to persistent urinary issues and end-stage renal disease in boys. Urodynamic testing is crucial for managing ongoing voiding symptoms after initial treatment.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Urodynamics

Context:

  • Posterior urethral valves (PUV) represent the primary cause of bladder outlet obstruction in infants.
  • PUV significantly impacts both renal and bladder function from an early age.

Purpose:

  • To evaluate the long-term urinary disorders and renal function in boys treated for PUV.
  • To assess the utility of urodynamic studies in persistent voiding dysfunction post-PUV treatment.

Summary:

  • A retrospective study analyzed 35 boys with urinary issues post-PUV treatment, with a mean age of 7.56 years.
  • Common issues included recurrent UTIs, urinary leakage, urinary tract dilation, and 18 cases of end-stage renal disease (8 needing transplantation).
  • Urodynamic findings revealed voiding dysfunction in 14, bladder hyperactivity in 20, and hypotonic bladders in 9 children.

Impact:

  • Urodynamic evaluations are essential for persistent voiding symptoms following valve ablation, even with favorable radiological outcomes.
  • This study highlights the significant long-term morbidity associated with PUV, emphasizing the need for comprehensive follow-up and management.
Abstract

Keywords:
Bilan urodynamiqueInsuffisance rénalePosterior urethral valvesRenal failureTroubles mictionnelsUrodynamic testValves de l’urètre postérieurVoiding disorders

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