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Çocukluk Çağında Posterior Üretral Valv Cerrahisi Uygulanan Hastaların Değerlendirilmesi

Year 2017, Volume: 14 Issue: 3, 154 - 159, 28.12.2017

Abstract

Amaç: Posterior Uretral Valv (PUV) erkek
çocuklarda görülen bir konjenital anomalidir. Erken
tanı şansı olmadıkça bu hastalar ileri yaşlarda organ
kayıplarına kadar ilerleyebilen sorunlarla
karşılaşabilirler.

Materyal ve Metod: Bu çalışmada; Aralık 2013-
Aralık 2016 tarihleri arasında üniversitemiz tıp
fakültesi hastanesi, üroloji polikliniğine başvuran ve
yapılan tetkikleri sonrası PUV tanısı konulup cerrahi
tedavi uygulanan 22 hastanın sonuçları retrospektif
olarak değerlendirildi.

Bulgular: Hastaların ortalama yaşı 3,36±0,8 yıl (1 ay11
yıl) arasında idi. Tüm hastalara üretrosistoskopi
yapılmış olup 19 hastada (%86,3) Tip I PUV
gözlenirken, 2 hastada Tip III, 1 hastada Tip II PUV
gözlendi. Postoperatif kateterizasyon süresi 4±1,2 gün
olup işlem sonrası 7. gün yapılan üriner
ultrasonografileride 6 (%27,2) hastada azalmış
derecede bilateral hidronefrozun devam ettiği, 2
hastada tek taraflı hidronefrozun devam ettiği
gözlenmiştir. Ortalama kan kreatin değerlerileri
0,65±0,21 mg/dl’ den 0,43±0,63 mg/dl’ e düşmüştür.

Sonuç: PUV; erken tanı konulabildiğinde gerekli
müdahelerle düzeltilebilen bir anomalidir. Prenatal
tanı konulabilmesi için dikkatlice incelenmeli daha
sonra multi-disipliner bir yaklaşımla acil
kateterizasyonu unutmayıp cerrahi açıdan en kısa
sürede müdahale edilmelidir.

References

  • 1-Warshaw BL, Edelbrock HH, Ettenger RB, et al. Renal transplantation in children with obstructive uropathy. J Urol 1980; 123: 737-41.
  • 2-Robertson WB, Hayes JA. Congenital diaphragmatic obstruction of the male posterior urethra. Br J Urol 1969;41: 592-8.
  • 3-Casella DP, Tomaszewski JJ, Ost MC. Posterior urethral valves: renal failure and prenatal treatment. Int J Nephrol 2012; 2012: 351067.
  • 4-Dinneen MD, Duffy PG. Posterior urethral valves. Br JUrol 1996;78: 275-81.
  • 5- Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol 1919;3: 289-365.
  • 6- Ciftci H. Posterior uretral valv ve diger konjenital anomaliler Turkiye Klinikleri J Urology-Special Topics2012; 5; 9-14.
  • 7- Hodges SJ, Patel B, McLorie G, et al. Posterior urethral valves. ScientificWorldJournal 2009; 9: 1119-26.
  • 8-Tekgül S, Riedmiller H, Dogan HS, et al. EAUGuidelines on Pediatric Urology 2014; 103-9.
  • 9- Bajpai M, Dave S, Gupta DK. Factors affecting outcome in the management of posterior urethral valves. Pediatr Surg Int 2001; 17(1): 11-5.
  • 10-Denes ED, Barthold JS, González R. Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 1997; 157:1441-3.
  • 11-Parkhouse HF, Barrat TM, Dillon MJ, et al Long-term outcome of boys with posterior urethral valves. Br J Urol, 1988; 62: 59-62.
  • 12-Schober JM, Dulabon LM, Woodhouse CR Outcome of valve ablation in late-presenting posteriorurethral valves. BJU International 2004; 94: 616-19.
  • 13- Silveri M, Adorisio O, Pane A, et al. Fetal monolateral urinoma and neonatal renal function outcome in posterior urethral valves obstruction: the pop-off mechanism. Pediatr Med Chir. 2002; 24:394-6.
  • 14- R. Coleman, T. King, C.-D. Nicoara, et al. Nadir creatinine in posterior urethral valves: How high is low enough? Journal of Pediatric Urology 2015; 11: 356.e1-5.
  • 15- Hoover DL, Duckett JW Jr. Posterior urethral valves, unilateral reflux and renal dysplasia: a syndrome. J Urol 1982; 128: 994-7.
  • 16- Pagano MJ, van Batavia JP, Casale P. Laser ablation in the management of obstructive uropathy in neonates. J Endourol 2015; 29: 611-4.
  • 17- Oktar T, Salabas E, Acar O, et al. Residual valve and stricture after posterior urethral valve ablation: how to evaluate? J Pediatr Urol 2013; 9: 184-7.
  • 18-Glassberg KI, Schneider M, Haller JO, et al. Observations on persistently dilated ureter after posterior urethral valve ablation. Urology 1982; 20: 20-8.
  • 19- Bader M, McCarthy L. What is the efficacy of circumcision in boys with complex urinary tract abnormalities? Pediatr Nephrol 2013; 28: 2267-72.

Evaluation of the Patients Who Underwent Posterior Urethral Valve Surgery During Childhood

Year 2017, Volume: 14 Issue: 3, 154 - 159, 28.12.2017

Abstract

References

  • 1-Warshaw BL, Edelbrock HH, Ettenger RB, et al. Renal transplantation in children with obstructive uropathy. J Urol 1980; 123: 737-41.
  • 2-Robertson WB, Hayes JA. Congenital diaphragmatic obstruction of the male posterior urethra. Br J Urol 1969;41: 592-8.
  • 3-Casella DP, Tomaszewski JJ, Ost MC. Posterior urethral valves: renal failure and prenatal treatment. Int J Nephrol 2012; 2012: 351067.
  • 4-Dinneen MD, Duffy PG. Posterior urethral valves. Br JUrol 1996;78: 275-81.
  • 5- Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol 1919;3: 289-365.
  • 6- Ciftci H. Posterior uretral valv ve diger konjenital anomaliler Turkiye Klinikleri J Urology-Special Topics2012; 5; 9-14.
  • 7- Hodges SJ, Patel B, McLorie G, et al. Posterior urethral valves. ScientificWorldJournal 2009; 9: 1119-26.
  • 8-Tekgül S, Riedmiller H, Dogan HS, et al. EAUGuidelines on Pediatric Urology 2014; 103-9.
  • 9- Bajpai M, Dave S, Gupta DK. Factors affecting outcome in the management of posterior urethral valves. Pediatr Surg Int 2001; 17(1): 11-5.
  • 10-Denes ED, Barthold JS, González R. Early prognostic value of serum creatinine levels in children with posterior urethral valves. J Urol 1997; 157:1441-3.
  • 11-Parkhouse HF, Barrat TM, Dillon MJ, et al Long-term outcome of boys with posterior urethral valves. Br J Urol, 1988; 62: 59-62.
  • 12-Schober JM, Dulabon LM, Woodhouse CR Outcome of valve ablation in late-presenting posteriorurethral valves. BJU International 2004; 94: 616-19.
  • 13- Silveri M, Adorisio O, Pane A, et al. Fetal monolateral urinoma and neonatal renal function outcome in posterior urethral valves obstruction: the pop-off mechanism. Pediatr Med Chir. 2002; 24:394-6.
  • 14- R. Coleman, T. King, C.-D. Nicoara, et al. Nadir creatinine in posterior urethral valves: How high is low enough? Journal of Pediatric Urology 2015; 11: 356.e1-5.
  • 15- Hoover DL, Duckett JW Jr. Posterior urethral valves, unilateral reflux and renal dysplasia: a syndrome. J Urol 1982; 128: 994-7.
  • 16- Pagano MJ, van Batavia JP, Casale P. Laser ablation in the management of obstructive uropathy in neonates. J Endourol 2015; 29: 611-4.
  • 17- Oktar T, Salabas E, Acar O, et al. Residual valve and stricture after posterior urethral valve ablation: how to evaluate? J Pediatr Urol 2013; 9: 184-7.
  • 18-Glassberg KI, Schneider M, Haller JO, et al. Observations on persistently dilated ureter after posterior urethral valve ablation. Urology 1982; 20: 20-8.
  • 19- Bader M, McCarthy L. What is the efficacy of circumcision in boys with complex urinary tract abnormalities? Pediatr Nephrol 2013; 28: 2267-72.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Bülent Katı

Eyüp Sabri Pelit

Adem Tunçtekin This is me

Erkan Aslan This is me

İsmail Yağmur This is me

Halil Çiftçi

Ercan Yeni This is me

Publication Date December 28, 2017
Submission Date October 6, 2017
Acceptance Date November 22, 2017
Published in Issue Year 2017 Volume: 14 Issue: 3

Cite

Vancouver Katı B, Pelit ES, Tunçtekin A, Aslan E, Yağmur İ, Çiftçi H, Yeni E. Çocukluk Çağında Posterior Üretral Valv Cerrahisi Uygulanan Hastaların Değerlendirilmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2017;14(3):154-9.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty