Naureen Akhtar, Tahir Masood Ahmad, Muhammad Abaidullah.
Outcomes of Posterior Urethral Valves in Boys.
Pak Paed J Jan ;38(3):184-8.

Background: Posterior urethral valves (PUVs) should always be considered in boys presenting with voiding dysfunction as are the most common congenital cause of renal failure in children. Objective: To determine the outcome of postoperative cases of PUVs regarding renal function, resolution of vesicoureteric reflux (VUR) and presence of renal scarring. Materials and Subjects: 100 post-operative boys with PUVs were selected at The Children’s Hospital & Institute of Child Health (CH&ICH) Lahore Pakistan between January 2007 and December 2011. Results: Out of 100 patients 44 underwent fulguration who showed significant co-relation with resolution of VUR. Renal scarring was seen in 25% boys with renal failure developing in 6% children. The statistical analyses were conducted using SPSS version 17.0 for Windows with Chi-square test conducted for the p value (<0.05, considered statistically significant). Conclusion: The restoration of urethral patency was achieved in majority of cases with resolution of VUR in more than 50% subjects. Less than one-fourth of the study population was found to develop scarring and renal impairment at the end of the trial.

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