Espinoza-Chávez GE, Vilchis-Cárdenas MA, Torres-Medina E, Acosta-Garduño J, Muñoz-Islas E, López-Alarcón A, Aguado-López HG

Language: Spanish
References: 12
Page: 248-253
PDF size: 4677.25 Kb.

ABSTRACT

The presence of valves in the anterior urethra is a rare pathology, with only a few cases reported in the national and international literature. Patients present with recurrent urinary infections or urinary obstruction data that can be serious. The presence of valves in the anterior urethra is an uncommon congenital malformation but it can cause significant damage to the rest of the urinary tract above the obstructive process. Anterior valves are more frequently located at the bulbar level and are associated with urethral diverticuli.
Clinical manifestations are secondary to the obstructive process and can have mild to severe urodynamic repercussions. Treatment is always surgical, and can be endoscopic or open surgery. The aim of medical attention in these patients is to have enough elements to make diagnosis and to perform opportune and adequate surgery for the obstructive uropathy and its consequences. The objective of the present article is to present the case of a patient with anterior urethral valves and urodynamic repercussions resulting in secondary bilateral megaureter and to report on management and present patient progression.

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