Analysis of five cases of urethral obstruction caused by anterior urethral valve combined with urethral diverticulum in children / 中国医师进修杂志

ABSTRACT

Objective To explore the diagnosis and treatment of children anterior urethral valve combined with urethral diverticulum, and study the causes of lower urethral obstruction caused by the anterior urethral valve combined with urethral diverticulum. Methods The clinical data of 5 cases of anterior urethral valves combined with urethral diverticulum were retrospectively analyzed. Excretory bladder urography showed the formation of anterior urethral valve and diverticulum. All children underwent cystostomy, urethral valves, diverticulectomy and urethroplasty. Results All the 5 children were cured by surgery, and urination was smooth, with no urinary fistula and urethral stricture; the postoperative urodynamics, renal function and urinalysis were normal. Conclusions Anterior urethral valve combined urethral diverticulum is rare in clinic, and excretory bladder urethroplasty is the main diagnosis method of lower urethral obstruction. The effect of early diagnosis and treatment is good. Transurethral resection of valve and diverticulum is the first choice.