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Updated: Mar 9, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Outcome of Antenatally Presenting Posterior Urethral Valves (PUV) in Children
T P Joseph1, V K Gopi, P R Babu
1Department 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.
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.
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