Abstract
A new born with anterior urethral diverticulum and posterior urethral valve
Highlights
The presentation of posterior urethral valve (PUV) and anterior urethral diverticulum (AUD) or valve (AUV) is rare and few cases reported in current literature
Case presentation A newborn baby was transferred from the peripheral hospital for further management of posterior urethral valve and bulge at the penoscrotal junction
The ultrasound scan showed bilateral hydronephrosis and hydroureter with suspected PUV and due to rising serum creatinine with reduced urine output suprapubic cystostomy was performed on 6 days of age
Summary
The presentation of posterior urethral valve (PUV) and anterior urethral diverticulum (AUD) or valve (AUV) is rare and few cases reported in current literature. Both congenital anomalies lead to bladder outlet obstruction. The ultrasound scan showed bilateral hydronephrosis and hydroureter with suspected PUV and due to rising serum creatinine with reduced urine output suprapubic cystostomy was performed on 6 days of age. Antegrade cystourethrogram was arranged after ureterostomy creation It revealed the AUD at the bulbar urethra, posterior urethral valve and vesicoureteric reflux on both sides Thereafter, there was no evidence of urinary tract infection and serum creatinine level was normal(48mg/dl) up until the age of one when cystoscopic guided posterior urethral valve ablation Excision of the AUD and repair of the urethra will be done later
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