Abstract
Posterior urethral valves (PUV) is the most common congenital urine flow impairment in boys. Long-term prognosis involves: • -renal function impaired in 30 to 50% of PUV and leading to hyperdiuresis, low GFR and avidosis; • -bladder urodynamics impaired in 75% of PUV with abnormal urine storage, abnormal micturition and vesicoureteric reflux. Incontinence and recurrent urinary tract infections commonly reflect bladder and renal failures: • -abnormal bladder outle icuds to incontinence and abnormal ejaculation. The roles of antenatal treatments (vesico-ammotic shunts), neonatal treatments (ressuscitation and endoscopic treatment of PUV) and long-term treatments (urinary diversions, bladder augmentation, alpha blockers, anticholinergic, dialysis and renal transplant) in the long-term outcomes of PUV are reviewed.
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