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2017 ; 58
(Suppl 1
): S46-S53
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Aggressive diagnosis and treatment for posterior urethral valve as an etiology
for vesicoureteral reflux or urge incontinence in children
#MMPMID28612060
Nakai H
; Hyuga T
; Kawai S
; Kubo T
; Nakamura S
Investig Clin Urol
2017[Jun]; 58
(Suppl 1
): S46-S53
PMID28612060
show ga
Vesicoureteral reflux (VUR) is one of the most common diseases in pediatric
urology and classified into primary and secondary VUR. Although posterior
urethral valve (PUV) is well known as a cause of the secondary VUR, it is
controversial that minor urethral deformity recognized in voiding
cystourethrography represents mild end of PUV spectrum and contributes to the
secondary VUR. We have been studying for these ten years congenital urethral
obstructive lesions with special attention to its urethrographic and endoscopic
morphology as well as therapeutic response with transurethral incision. Our
conclusion to date is that congenital obstructive lesion in the
postero-membranous urethra is exclusively PUV (types 1 and 3) and that severity
of obstruction depends on broad spectrum of morphological features recognized in
PUV. Endoscopic diagnostic criteria for PUV are being consolidated.