SUCCESSFUL TRANSURETHRAL RESECTION OF ANTERIOR URETHRAL VALVE IN CHILDREN : A CASE REPORT

Fariz Kemal Akbar, K. Seputra, Pradana Nurhadi
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Abstract

Objective: This case report will present transurethral resection of double anterior urethral valves in tertiary hospital. Case(s) Presentation: A three-year-old boy who complained of a poor stream of urine and discomfort during micturition. From the radiological examination, the main finding was found on ultrasound (USG), with thickening of the bladder wall without upper tract abnormality. On panendoscopy, we found double anterior urethral valves at bulbar part and trabeculation in bladder. Discussion: The resection of the valves was performed and achieved an excellent result included normal stream of urine and there was no discomfort during micturition. Conclusion: Anterior Urethral Valve is a rare case that can be caused a lower urinary tract obstruction. A good understanding of AUV’s radiological and endoscopic anatomy is required to differentiate it from other diseases, essential to prevent further injury, and also to decide for appropriate management. Keywords: Anterior Urethral Valve, Congenital Anomaly, Urinary Obstruction
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经尿道成功切除儿童前尿道瓣膜:病例报告
目的:本病例报告将介绍在三级医院进行的经尿道双前尿道瓣膜切除术。病例介绍:一名三岁男孩主诉尿流不畅,排尿时感到不适。从放射学检查来看,超声波检查(USG)的主要发现是膀胱壁增厚,但无上尿路异常。在全内镜检查中,我们发现球部有双前尿道瓣膜,膀胱内有小梁。讨论瓣膜切除术效果极佳,尿流正常,排尿时无不适感。结论尿道前瓣膜可导致下尿路梗阻,这种情况非常罕见。要将前尿道瓣膜与其他疾病区分开来,必须充分了解前尿道瓣膜的放射学和内窥镜解剖,这对防止进一步损伤和决定适当的治疗方法至关重要。关键词前尿道瓣膜 先天性异常 尿路梗阻
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