Abstract
Catheter drainage has been advocated for initial diversion in children who present with posterior urethral valves and concomitant urinary tract infection or metabolic derangement. We report a case in which a well placed and functioning Foley catheter provided inadequate upper tract decompression. However, excellent upper tract decompression was accomplished when the catheter was replaced with a feeding tube. It appears that physiological upper tract obstruction was promoted by the Foley catheter, which may have been a manifestation of the valve bladder syndrome.
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