User:Mr. Ibrahem/Posterior urethral valve1

From Wikipedia, the free encyclopedia
Posterior urethral valve
Other namesCongenital obstructive posterior urethral membrane
Vesiculæ seminales and ampullæ of ductus deferentes, seen from the front. Posterior urethral valves are at the dorsal aspect (back) of the prostatic urethra.
SpecialtyUrology
SymptomsPoor feeding, failure to thrive[1]
ComplicationsChronic kidney disease, incomplete lung development, urinary incontinence, urinary tract infections[1]
Usual onsetPresent at birth[1]
TypesType I, II, III[1]
CausesUnknown[2]
Risk factorsFamily history.[2]
Diagnostic methodUltrasound, voiding cystourethrography[1][2]
Differential diagnosisOther causes of oligohydramnios, vesicoureteral reflux, Prune–belly syndrome, ureteric stenosis[1]
TreatmentUrinary catheter, surgery, management of complications[1]
PrognosisVariable[1]
Frequency1 in 5,000 male births[1]

Posterior urethral valve (PUV) is a disorder were the urethra in a newborn male is blocked by a fold of tissue.[1] Symptoms after birth may include poor feeding or failure to thrive.[1] It may be associated with urinary retention, chronic kidney disease, incomplete development of the lungs, urinary incontinence, or urinary tract infections.[1]

How and why the disorder forms in unclear.[2] Risk factors include a family history.[2] They can be divided into three types based on the proposed origin of the fold of tissue.[1] The potential origins of the fold; however, is disputed as of 2020.[1] Diagnosis may occur before birth by ultrasound or after birth via voiding cystourethrography.[1]

Surgery may be carried out before birth; however, results are mixed.[1] After birth the bladder may be drained with a feeding tube.[1] Other efforts may be required to address electrolyte or breathing problems.[1] Surgery is required to remove the fold of tissue and potentially to treat any vesicoureteric reflux.[1]

Posterior urethral valve occurs in about one in 5,000 male births.[1] The condition was first described in 1717 by Giovanni Battista Morgagni.[1] The classification into types occurred in 1919 by Hugh Young.[3]

References[edit]

  1. ^ a b c d e f g h i j k l m n o p q r s t u Bingham, G; Rentea, RM (January 2020). "Posterior Urethral Valve". PMID 32809716. {{cite journal}}: Cite journal requires |journal= (help)
  2. ^ a b c d e "Orphanet: Posterior urethral valve". www.orpha.net. Retrieved 22 January 2021.
  3. ^ Puri, Prem (2003). Newborn Surgery, 2Ed. CRC Press. p. 855. ISBN 978-1-4441-1389-1.