Anterior urethral valves: a rate cause of urethral obstruction in children

Anterior urethral valves are uncommon cause of urethral obstruction in children and diagnosis may be delayed due to rarity of condition. The symptoms mimic those of posterior urethral valves. We are reporting a four years old boy who presented with recurrent urinary tract infections, difficulty in micturition and dribbling of urine. Ultrasound showed bilateral hydronephrosis, hydrouerter and a large bladder with 100 ml of post voiding residual urine. Micturating cystourethrogram showed trabeculated bladder with dilated urethra to the navicular fossa. Cystoscopy revealed fibrous valves just proximal to the navicular fossa. Ablation of valves caused immediate relief of symptoms. Child remained symptoms free at six months follow-up