Abstract
SUMMARY This report summarises the clinical findings and treatment of 17 examples of congenital anterior urethral valves and diverticula. Eight of the patients were under 2 years of age at the time of presentation, many of them had well-marked urinary obstruction although it was seldom as severe as that seen in posterior urethral valves, and very much more satisfactory results attended surgical treatment. The diagnosis should be suspected in children with lower urinary tract obstruction and a palpable ventral penile swelling, and should be established by a voiding cysto-urethrogram which visualises the entire urethra. The diagnosis may be confirmed by endoscopy when a sharp valvular ridge should be easily seen. An anterior urethral valve or diverticulum may be missed on a retrograde urethrogram. Surgical excision by a one- or two-stage urethroplasty was the usual method of treatment. AEtiological series have been discussed.
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