LI Ming lei,ZHANG Wei ping,SUN Ning,et al.Analyze the upper urinary tract impairment made by the congenital anterior urethral valve (AUV) and diverticulum.[J].Journal of Clinical Pediatric Surgery,,9():426.
Analyze the upper urinary tract impairment made by the congenital anterior urethral valve (AUV) and diverticulum.
- Keywords:
- Urethra/AB; Diverticulum; Hydronephrosis
- Document code:
- A
- Abstract:
- ObjectiveThe impairment of upper urinary tract made by the congenital anterior urethral valve (AUV) is compared with the impairment made by the diverticulum. Try to analyze whether these two items are different presentations of the same disease or not and to understand the treatment of upper urinary tract impairment.MethodsMedical records of 78 cases (52 with AUV and 26 with diverticulum) treated at Beijing Children’s Hospital from 19902009 are reviewed retrospectively. The clinical presentations, treatments and results are evaluated. Chisquire test is used in statistic analysis. There is significant difference if the P<0.05.ResultsVesicoureteric refluxes (VUR) happened in 20 cases (38.5%) with AUV and 8 (30.8%) with diverticulum. Upper urinary system dilation appeared in 20 cases (38.5%) with AUV and 12(46.2%）with diverticulum. There is no significant difference in incidence and degree of VUR between cases with AUV and diverticulum. There is no significant difference in upper urinary tract dilation either. The incidence of bladder diverticulum and／or trabeculation presented in cases with AUV is more than in cases with diverticulum significantly (P<0.05). 11 cases with AUV and 6 cases with diverticulum received operation twice or more, 5 cases among them got ureterovesicular reimplantation. VUR disappeared or reduced to ≤3 degree in 11 cases with AUV and 4 cases with diverticulum who were able to be followed up.ConclusionsThere are no significant differences between patients with AUV and with diverticulum according to the impairment of upper urinary system. The assumption that AUV and diverticulum are different presentations of the same disease is supported. If the urethral obstruction is resolved, ureterovesicular reimplantation could be applied in patient whose grade of VUR is IV/V.
References:
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