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Posterior urethral valves and recurrent vesicoureteral reflux: Surgical approach and postoperative challenges in a pediatric case


Article PDF :

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Article type :

Case Report

Author :

Niroja Umashankar* , Sandhiya N

Volume :

11

Issue :

1

Abstract :

Posterior urethral valves (PUV) and Vesicoureteral reflux (VUR) are congenital urological anomalies that contribute to recurrent urinary tract infections (UTIs) and progressive renal damage. VUR, the retrograde flow of urine due to Vesicoureteral junction dysfunction, is classified as low-to-moderate (Grades I–III) or high-grade (Grades IV–V), with the latter increasing the risk of renal scarring. PUV, a posterior urethral obstruction, often coexists with VUR, exacerbating bladder dysfunction. Early detection via antenatal ultrasound and postnatal voiding cystourethrography (VCUG) is critical. Management varies from conservative therapy for mild cases to surgical correction for severe reflux, with long-term follow-up essential for renal preservation.

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