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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Role of vesicostomy in the management of posterior urethral valve in Sub-Saharan Africa
Journal of Pediatric Urology, Volume 10, No. 1, Year 2014
Notification
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Description
Objective To review the role of vesicostomy in the management of posterior urethral valve (PUV), in neonates and infants, given the limitations for endoscopic treatment in this setting. Methods A review of 35 patients who presented with posterior urethral valve over a 10-year period. Demographic and clinical information were prospectively recorded on a structured pro forma, and the data extracted analysed using SPSS 11.0. Results The 35 boys were aged 3 days to 10 years (median 3 weeks). Twenty-three (65.7%) had a vesicostomy (age range 3 days-3 years, median 3 weeks). The mode of presentation was poor urinary stream 15 (65.2%), urinary retention 4 (17.4%), and renal failure 6 (26.1%). Main findings were palpable bladder 23 (100%), hydronephrosis 4 (17.4%). Abdominal ultrasound confirmed hydronephrosis and thickened bladder wall, and voiding/expressive cystourethrogram confirmed dilated posterior urethra and vesicoureteric reflux in all 23 patients. Complications following vesicostomy were stoma stenosis 1 (4.3%), bladder mucosal prolapse 1 (4.3%), perivesicostomy abscess 1 (4.3%); there was no mortality. Following vesicostomy, 10 (43.5%) patients had excision of the valves and vesicostomy closure at age 2-8 years (median 4 years). They are well, with normal renal ultrasonographic findings, bladder capacity range 115-280 ml, and normal urea, serum electrolytes, creatinine, at 3 years of follow up. Thirteen (56.5%) are still awaiting valvotomy but have remained well and with normal ultrasonographic renal findings. Conclusion Vesicostomy is a useful temporising mode of urinary diversion in neonates and infants with posterior urethral valve (in the absence of unobstructed upper tracts) when facilities for endoscopic valve ablation are not readily available. © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Lukong, Christopher Suiye
Nigeria, Zaria
Ahmadu Bello University
Ameh, Emmanuel A.
Nigeria, Zaria
Ahmadu Bello University
Mshelbwala, Philip Mari
Nigeria, Zaria
Ahmadu Bello University
Jabo, Basheer Abdullahi
Nigeria, Zaria
Ahmadu Bello University
Gomna, Alexander
Nigeria, Zaria
Ahmadu Bello University
Anumah, Mark A.
Nigeria, Zaria
Ahmadu Bello University
Nmadu, Paul T.
Nigeria, Zaria
Ahmadu Bello University
Mfuh, A. Y.
Nigeria, Zaria
Ahmadu Bello University
Statistics
Citations: 17
Authors: 8
Affiliations: 1
Identifiers
Doi:
10.1016/j.jpurol.2013.06.004
ISSN:
14775131
e-ISSN:
18734898
Study Approach
Quantitative
Participants Gender
Male