title: Inadequate decompression of the upper tracts using a Foley catheter in the valve bladder.
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.
mesh_terms: D002408:Catheters, Indwelling; D004750:Enteral Nutrition / Q000295:instrumentation; D006801:Humans; D007223:Infant; D008297:Male; D013577:Syndrome; D014521:Urethra / Q000002:abnormalities*; D014546:Urinary Catheterization / Q000295:instrumentation*; D014547:Urinary Diversion / Q000295:instrumentation*