Problems in managing the outcome of posterior urethral valves at LRH Hospital

Zafar Ahmad Khan; Azra A Ghani; Faiza Hayat; Muhammad Shahzad; Syed Munib; Shah Fahad

doi:10.53730/ijhs.v6nS8.13779

Authors

Zafar Ahmad Khan Assistant Prof department of Urology MMC Mardan
Azra A Ghani
Azaraghani@yahoo.com
Assistant Prof department of urology MTI, LRH peshawar
Faiza Hayat Assistant Prof Department Of Urology IKD Peshawar
Muhammad Shahzad Consulant Urologest LRH Peshawar
Syed Munib Prof of Nephrology IKD Peshawar
Shah Fahad Consulant Nephrologest Sadiu Teachnig Hospital Swat

Keywords:

vesicoureteral reflux, renal insufficiency, vesicostomy, ureterostomy

Abstract

Aim: The goal of this study is to characterise the appearance of posterior urethral valves and evaluate the effectiveness of their treatment in settings with limited medical resources. Methods: The Department of Urology at lrh Peshawar performed a retrospective, descriptive research between Jan 2019 and Jan 2021. The presentation, duration of symptoms, complications, and treatment outcome were all considered. Results: There were 460 patients in total. Approximately three years old was the midpoint [02 days–10 years]. The average time from the onset of symptoms to diagnosis was [2.4 years]. 400 (90%) individuals reported urosepsis; 160 (34%) patients showed unilateral or bilateral reflux; 70 (16%) patients presented with big decompensated bladder, and 80 (18%) patients presented with substantial renal insufficiency. The radiological results verified the presumptive diagnosis of the posterior urethral valve. All patients underwent a cystoscopy and valve fulguration; some underwent further vesicostomy or ureterostomy procedures. Conclusion: According to the study, late presentation is common in our setting. High rates of illness and death are linked to this. The medical community must work toward greater awareness and earlier diagnosis to slow the epidemic.

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