title: Missed diagnosis of anterior urethral valve complicated with a foreign body: a cause for concern.
abstract: Anterior urethral valve (AUV) is a long known but rare anomaly, which is occasionally encountered in boys with obstructive uropathy. We present a case of AUV with a diverticulum which was misdiagnosed at other center as neurogenic bladder resulting in chronic renal failure. The case was further complicated by breakage of tip of the catheter used for clean intermittent catheterization (CIC) in the diverticulum presenting as a foreign body in the urethra. This article highlights the frequently missed diagnosis of AUV by most practitioners wrongly labeling it as neurogenic bladder, leading to improper management and renal failure in young boys.
authors.affiliation: Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
authors.forename: Rishi
authors.initials: R
authors.lastname: Nayyar
authors.forename: Sundeep
authors.initials: S
authors.lastname: Chavda
authors.forename: Prabhjot
authors.initials: P
authors.lastname: Singh
authors.forename: Narmada P
authors.initials: NP
authors.lastname: Gupta
mesh_terms: D057785:Catheters / Q000009:adverse effects; D002648:Child; D003558:Cystoscopy; D003951:Diagnostic Errors; D004240:Diverticulum / Q000175:diagnosis / Q000209:etiology; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D057928:Intermittent Urethral Catheterization; D008297:Male; D016896:Treatment Outcome; D014521:Urethra / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014522:Urethral Diseases / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000628:therapy; D014567:Urography