Skip to main content
Top
Published in: World Journal of Urology 6/2004

01-12-2004 | Topic Paper

Initial and long-term management of posterior urethral valves

Authors: P. López Pereira, M. J. Martinez Urrutia, E. Jaureguizar

Published in: World Journal of Urology | Issue 6/2004

Login to get access

Abstract

Posterior urethral valves are the most common cause of congenital obstructive uropathy, resulting in renal failure in childhood. Nowadays, in most cases, diagnosis is suggested by antenatal ultrasound. However, antenatal intervention has not resulted in a significantly improved outcome. Endoscopic valve ablation is the initial treatment in most of these neonates, but others procedures, like vesicostomy or ureterostomy, can also be justified in some particular cases in order to improve renal function prognosis. Different factors like bladder dysfunction, VUR, polyuria and proteinuria, can be responsible for the slow and progressive deterioration in renal function that some of these patients show over the years. By treating them all, we may prevent or delay the onset of end stage renal disease.
Literature
go back to reference 1 Abbott JE, Levine D, Wapner R (1998) Posterior urethral valves: inaccuracy of prenatal diagnosis. Fetal Diagn Ther 13:179–183CrossRefPubMed 1 Abbott JE, Levine D, Wapner R (1998) Posterior urethral valves: inaccuracy of prenatal diagnosis. Fetal Diagn Ther 13:179–183CrossRefPubMed
go back to reference 2 Agarwal SK, Fisk N, Welsh A (1999) Endoscopic management of fetal obstructive uropathy. J Urol 161:108CrossRef 2 Agarwal SK, Fisk N, Welsh A (1999) Endoscopic management of fetal obstructive uropathy. J Urol 161:108CrossRef
go back to reference 3 Agarwal SK, Fisk N M (2001) In utero therapy for lower urinary tract obstruction. Prenat Diagn 21:970–976CrossRefPubMed 3 Agarwal SK, Fisk N M (2001) In utero therapy for lower urinary tract obstruction. Prenat Diagn 21:970–976CrossRefPubMed
go back to reference 4 Bauer SB, Dieppa RA, Labib KK et al. (1979) The bladder in boys with posterior urethral valves: a urodynamic assessment. J Urol 121:769–773PubMed 4 Bauer SB, Dieppa RA, Labib KK et al. (1979) The bladder in boys with posterior urethral valves: a urodynamic assessment. J Urol 121:769–773PubMed
go back to reference 5 Blocksom BHJr (1957) Bladder pouch for prolonged tubular cystostomy. J Urol 78:398PubMed 5 Blocksom BHJr (1957) Bladder pouch for prolonged tubular cystostomy. J Urol 78:398PubMed
go back to reference 6 Churchill BM, Sheldon CA, McLorie GA, Arbus GS (1988) Factors influencing patient and graft survival in 300 cadaveric pediatric renal transplants. J Urol 140:1129–1131PubMed 6 Churchill BM, Sheldon CA, McLorie GA, Arbus GS (1988) Factors influencing patient and graft survival in 300 cadaveric pediatric renal transplants. J Urol 140:1129–1131PubMed
go back to reference 7 Close CE, Carr MC, Burns MW, Mitchell ME (1997) Lower urinary tract changes after early valve ablation in neonates and infants: is early diversion warranted? J Urol 157:984–988CrossRefPubMed 7 Close CE, Carr MC, Burns MW, Mitchell ME (1997) Lower urinary tract changes after early valve ablation in neonates and infants: is early diversion warranted? J Urol 157:984–988CrossRefPubMed
go back to reference 9 Crombleholme TM, Harrison MR, Golbus MS et al. (1990) Fetal intervention in obstructive uropathy: prognostic indicators and efficacy of intervention. Am J Obstet Gynecol 162:1239–1244PubMed 9 Crombleholme TM, Harrison MR, Golbus MS et al. (1990) Fetal intervention in obstructive uropathy: prognostic indicators and efficacy of intervention. Am J Obstet Gynecol 162:1239–1244PubMed
go back to reference 10 De Gennaro M, Mosiello G, Capitanucci ML et al. (1996) Early detection of bladder dysfunction following posterior urethral valves ablation. Eur J Pediatr Surg 6:163–165PubMed 10 De Gennaro M, Mosiello G, Capitanucci ML et al. (1996) Early detection of bladder dysfunction following posterior urethral valves ablation. Eur J Pediatr Surg 6:163–165PubMed
go back to reference 11 De Gennaro M, Capitanucci ML, Capoza N et al. (1998) Detrusor hypocontractility in children with posterior urethral valves arises before puberty. Br J Urol 81: 81–85PubMed 11 De Gennaro M, Capitanucci ML, Capoza N et al. (1998) Detrusor hypocontractility in children with posterior urethral valves arises before puberty. Br J Urol 81: 81–85PubMed
go back to reference 12 Denes ED, Barthold JS, Gonzalez R (1997) Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 157:1441–1443CrossRefPubMed 12 Denes ED, Barthold JS, Gonzalez R (1997) Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 157:1441–1443CrossRefPubMed
go back to reference 13 Dinneen MD, Duffy PG (1996) Posterior urethral valves. Br J Urol 78:275–281PubMed 13 Dinneen MD, Duffy PG (1996) Posterior urethral valves. Br J Urol 78:275–281PubMed
go back to reference 14 Drozdz D, Drozdz M, Gretz N et al. (1998) Progression to end-stage renal disease in children with posterior urethral valves. Pediatr Nephrol 12:630–636CrossRefPubMed 14 Drozdz D, Drozdz M, Gretz N et al. (1998) Progression to end-stage renal disease in children with posterior urethral valves. Pediatr Nephrol 12:630–636CrossRefPubMed
go back to reference 15 Duckett JW (1997) Are “valve bladders” congenital or iatrogenic? Br J Urol 79:271–275PubMed 15 Duckett JW (1997) Are “valve bladders” congenital or iatrogenic? Br J Urol 79:271–275PubMed
go back to reference 16 Duel BP, Gonzalez R, Barthold JS (1998) Alternative techniques for augmentation cystoplasty. J Urol 159: 998–1005CrossRefPubMed 16 Duel BP, Gonzalez R, Barthold JS (1998) Alternative techniques for augmentation cystoplasty. J Urol 159: 998–1005CrossRefPubMed
go back to reference 17 Elder JS, O’Grady JP, Ashmead G et al. (1990) Evaluation of fetal renal function: unreliability of fetal urinary electrolytes. J Urol 144:574–578PubMed 17 Elder JS, O’Grady JP, Ashmead G et al. (1990) Evaluation of fetal renal function: unreliability of fetal urinary electrolytes. J Urol 144:574–578PubMed
go back to reference 18 Freedman AL, Bukowski TP, Smith CA et al. (1996) Fetal therapy for obstructive uropathy: specific outcomes diagnosis. J Urol 156:720–724CrossRefPubMed 18 Freedman AL, Bukowski TP, Smith CA et al. (1996) Fetal therapy for obstructive uropathy: specific outcomes diagnosis. J Urol 156:720–724CrossRefPubMed
go back to reference 20 Gonzales ET (1998) Posterior urethral valves and other urethral anomalies. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s Urology. WB Saunders, Philadelphia, pp 2069–2091 20 Gonzales ET (1998) Posterior urethral valves and other urethral anomalies. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s Urology. WB Saunders, Philadelphia, pp 2069–2091
go back to reference 21 Harrison MR, Golbus MS, Filly RA et al. (1982) Fetal surgery for congenital hydronephrosis. N Engl J Med 306:591–593PubMed 21 Harrison MR, Golbus MS, Filly RA et al. (1982) Fetal surgery for congenital hydronephrosis. N Engl J Med 306:591–593PubMed
go back to reference 22 Hendren WH (1978) Complications of ureterostomy. J Urol 120:269–281PubMed 22 Hendren WH (1978) Complications of ureterostomy. J Urol 120:269–281PubMed
go back to reference 23 Herndon A, McKenna PH, Freedman AL et al. (1999) Consensus on the approach to antenatally detected urologic abnormalities. Pediatrics 104:860 23 Herndon A, McKenna PH, Freedman AL et al. (1999) Consensus on the approach to antenatally detected urologic abnormalities. Pediatrics 104:860
go back to reference 24 Holmdahl G, Sillen U, Hanson E et al. (1996) Bladder dysfunction in boys with posterior urethral valves before and after puberty. J Urol 155:694–698CrossRefPubMed 24 Holmdahl G, Sillen U, Hanson E et al. (1996) Bladder dysfunction in boys with posterior urethral valves before and after puberty. J Urol 155:694–698CrossRefPubMed
go back to reference 25 Jaureguizar E, Lopez Pereira P, Martinez Urrutia MJ et al. (1994) Prónostico de los pacientes con válvulas de uretra posterior según tratamiento inicial y su comportamiento urodinámico.Cir Ped 7:128–131 25 Jaureguizar E, Lopez Pereira P, Martinez Urrutia MJ et al. (1994) Prónostico de los pacientes con válvulas de uretra posterior según tratamiento inicial y su comportamiento urodinámico.Cir Ped 7:128–131
go back to reference 26 Jaureguizar E, Lopez Pereira P, Martinez Urrutia MJ et al. (2000) Does neonatal pyeloureterostomy worsen bladder function in children with posterior urethral valves? J Urol 164:1031–1034CrossRefPubMed 26 Jaureguizar E, Lopez Pereira P, Martinez Urrutia MJ et al. (2000) Does neonatal pyeloureterostomy worsen bladder function in children with posterior urethral valves? J Urol 164:1031–1034CrossRefPubMed
go back to reference 27 Jayanthi VR, McLorie GA, Khoury AE, Churcill BM (1995) The effect of temporary cutaneous diversion on ultimate bladder function. J Urol 15:889–892CrossRef 27 Jayanthi VR, McLorie GA, Khoury AE, Churcill BM (1995) The effect of temporary cutaneous diversion on ultimate bladder function. J Urol 15:889–892CrossRef
go back to reference 28 Kaefer M, Peters CA, Retik AB et al. (1997) Increased renal echogenicity: a sonographic sign for differentiating between obstructive and nonobstructive etiologies of in utero bladder distension. J Urol 158:1026–1029CrossRefPubMed 28 Kaefer M, Peters CA, Retik AB et al. (1997) Increased renal echogenicity: a sonographic sign for differentiating between obstructive and nonobstructive etiologies of in utero bladder distension. J Urol 158:1026–1029CrossRefPubMed
go back to reference 29 Kim YH, Horowitz M, Combs A et al. (1996) Comparative urodynamic findings after primary valve ablation, vesicostomy or proximal diversion. J Urol 156:673–676CrossRefPubMed 29 Kim YH, Horowitz M, Combs A et al. (1996) Comparative urodynamic findings after primary valve ablation, vesicostomy or proximal diversion. J Urol 156:673–676CrossRefPubMed
go back to reference 30 Koff SA, Mutabagani K, Jayanthi VR (2002) The valve bladder syndrome: pathophysiology and treatment with nocturnal bladder emptying. J Urol 167:291–297CrossRefPubMed 30 Koff SA, Mutabagani K, Jayanthi VR (2002) The valve bladder syndrome: pathophysiology and treatment with nocturnal bladder emptying. J Urol 167:291–297CrossRefPubMed
go back to reference 31 Krueger RP, Hardy BE, Churchill BM (1980) Growth in boys with posterior urethral valves. Primary valve resection vs upper tract diversion. Urol Clin North Am 7:265–272PubMed 31 Krueger RP, Hardy BE, Churchill BM (1980) Growth in boys with posterior urethral valves. Primary valve resection vs upper tract diversion. Urol Clin North Am 7:265–272PubMed
go back to reference 32 Lal R, Bhatnagar V, Mitra DK (1999) Long-term prognosis of renal function in boys treated for posterior urethral valves. Eur J Pediatr Surg 9:307–311PubMed 32 Lal R, Bhatnagar V, Mitra DK (1999) Long-term prognosis of renal function in boys treated for posterior urethral valves. Eur J Pediatr Surg 9:307–311PubMed
go back to reference 33 Lopez Pereira P, Martinez Urrutia MJ, Espinosa L et al. (2002) Bladder dysfunction as a prognostic factor in patients with posterior urethral valves. BJU Int 90:308–311CrossRefPubMed 33 Lopez Pereira P, Martinez Urrutia MJ, Espinosa L et al. (2002) Bladder dysfunction as a prognostic factor in patients with posterior urethral valves. BJU Int 90:308–311CrossRefPubMed
go back to reference 34 Lopez Pereira P, Espinosa L, Martinez Urrutia MJ et al. (2003) Posterior urethral valves: prognostic factors. BJU Int 91:687–690PubMed 34 Lopez Pereira P, Espinosa L, Martinez Urrutia MJ et al. (2003) Posterior urethral valves: prognostic factors. BJU Int 91:687–690PubMed
go back to reference 35 Mandell J, Peters CA, Estroff JA et al. (1992) Late onset severe oligohydramnios associated with genitourinary abnormalities. J Urol 148:515–518PubMed 35 Mandell J, Peters CA, Estroff JA et al. (1992) Late onset severe oligohydramnios associated with genitourinary abnormalities. J Urol 148:515–518PubMed
go back to reference 36 Nguyen HT, Peters CA (1999) Long-term complications of posterior urethral valves. Br J Urol 83 [Suppl 3]:23–28 36 Nguyen HT, Peters CA (1999) Long-term complications of posterior urethral valves. Br J Urol 83 [Suppl 3]:23–28
go back to reference 37 Parkhouse HF, Barrat TM, Dillon MJ et al. (1988) Long-term outcome of boys with posterior urethral valves. Br J Urol 62:59–62PubMed 37 Parkhouse HF, Barrat TM, Dillon MJ et al. (1988) Long-term outcome of boys with posterior urethral valves. Br J Urol 62:59–62PubMed
go back to reference 38 Peters CA, Bolkier M, Bauer SB et al. (1990) The urodynamic consequences of posterior urethral valves. J Urol 144:122–126PubMed 38 Peters CA, Bolkier M, Bauer SB et al. (1990) The urodynamic consequences of posterior urethral valves. J Urol 144:122–126PubMed
go back to reference 39 Podesta M, Ruarte AC, Garguiulo C et al. (2002) Bladder function associated with posterior urethral valves after primary valve ablation or proximal diversion in children and adolescents. J Urol 168:1830–1835CrossRefPubMed 39 Podesta M, Ruarte AC, Garguiulo C et al. (2002) Bladder function associated with posterior urethral valves after primary valve ablation or proximal diversion in children and adolescents. J Urol 168:1830–1835CrossRefPubMed
go back to reference 40 Quintero RA, Johnson MP, Romero R et al. (1995) In utero percutaneous cystoscopy in the management of fetal lower obstructive uropathy. Lancet 346:537–540CrossRefPubMed 40 Quintero RA, Johnson MP, Romero R et al. (1995) In utero percutaneous cystoscopy in the management of fetal lower obstructive uropathy. Lancet 346:537–540CrossRefPubMed
go back to reference 41 Quintero RA, Johnson MP, Munoz H et al. (1998) In utero endoscopy treatment of posterior urethral valves. Prenat Neonat Med 3:208–216 41 Quintero RA, Johnson MP, Munoz H et al. (1998) In utero endoscopy treatment of posterior urethral valves. Prenat Neonat Med 3:208–216
go back to reference 42 Reinberg Y, Gonzalez R, Fryd D et al. (1988).The outcome of renal transplantation in children with posterior urethral valves. J Urol 140:1491–95PubMed 42 Reinberg Y, Gonzalez R, Fryd D et al. (1988).The outcome of renal transplantation in children with posterior urethral valves. J Urol 140:1491–95PubMed
go back to reference 43 Reinberg Y, Castano I, Gonzalez R (1992) Influence of initial therapy on progression of renal failure and body growth in children with posterior urethral valves. J Urol 148:532–533PubMed 43 Reinberg Y, Castano I, Gonzalez R (1992) Influence of initial therapy on progression of renal failure and body growth in children with posterior urethral valves. J Urol 148:532–533PubMed
go back to reference 44 Smith GH, Canning DA, Schulman SL et al. (1996) The long-term outcome of posterior urethral valves treated with primary valve ablation and observation. J Urol 155:1730–1734CrossRefPubMed 44 Smith GH, Canning DA, Schulman SL et al. (1996) The long-term outcome of posterior urethral valves treated with primary valve ablation and observation. J Urol 155:1730–1734CrossRefPubMed
go back to reference 45 Smith GH, Duckett JW (1996) Urethral lesions in infants and children. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW (eds) Adult and pediatric urology. Mosby Year Book, St. Louis, pp 2411–2443 45 Smith GH, Duckett JW (1996) Urethral lesions in infants and children. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW (eds) Adult and pediatric urology. Mosby Year Book, St. Louis, pp 2411–2443
go back to reference 46 Warshaw BL, Hymes LC, Trulock TS et al. (1985) Prognostic features in infants with obstructive uropathy due to posterior urethral valves. J Urol 133:240–243PubMed 46 Warshaw BL, Hymes LC, Trulock TS et al. (1985) Prognostic features in infants with obstructive uropathy due to posterior urethral valves. J Urol 133:240–243PubMed
go back to reference 47 Woolf AS (1999) The kidney embryology. In: Barrat TM, Avner ED, Harmon WE (eds) Pediatric nephrology. Lippincot, Williams and Wilkins, Baltimore, pp 1–19 47 Woolf AS (1999) The kidney embryology. In: Barrat TM, Avner ED, Harmon WE (eds) Pediatric nephrology. Lippincot, Williams and Wilkins, Baltimore, pp 1–19
Metadata
Title
Initial and long-term management of posterior urethral valves
Authors
P. López Pereira
M. J. Martinez Urrutia
E. Jaureguizar
Publication date
01-12-2004
Publisher
Springer-Verlag
Published in
World Journal of Urology / Issue 6/2004
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-004-0460-6

Other articles of this Issue 6/2004

World Journal of Urology 6/2004 Go to the issue

Editorial

Editorial

Historical Vignette

Epicurus’ death