[Persistent urination disorders after treatment of posterior urethral valve: incidence and semiology].
Micturition disorders were studied retrospectively in a series of 165 children over a period of 15 years. Among patients without lesions of the upper tract at the time of diagnosis (group A, n = 131), 18 (14%) had persistent nocturnal and diurnal enuresis: one urethral stenosis and six vesicoureteric reflux required surgery; three experienced persistent pollakiuria and enuresis. Among patients with upper urinary tract damage at the time of diagnosis (group B, n = 34), seven presented with recurrent urinary tract infection, five with nocturnal and diurnal enuresis and three with urolithiasis. In the long term, only 52% of them had normal renal function and two were successfully transplanted. Micturition disorders following treatment of posterior urethral valves are frequent and usually related to the so-called valve bladder syndrome. Iatrogenic complications and mortality rate have dramatically decreased during the recent years but long-term renal function impairment remains the most critical problem.
Guys
J M
JM
Fédération de chirurgie pédiatrique, hôpital de La Timone, Marseille, France.
Meyrat
B
B
Siméoni-Alias
J
J
Coquet
M
M
Monfort
G
G
D002648:Child; D004775:Enuresis / Q000453:epidemiology / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D011184:Postoperative Period; D051437:Renal Insufficiency / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D014521:Urethra / Q000002:abnormalities / Q000601:surgery*; D014524:Urethral Obstruction / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology; D014555:Urination Disorders / Q000453:epidemiology* / Q000209:etiology