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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Outcome of late presentation of posterior urethral valves in a resource-limited economy: Challenges in management
International Journal of Nephrology, Volume 2012, Article 345298, Year 2012
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Description
Delayed presentation of patients with posterior urethral valve with complications like severe urosepsis, uremia, and anemia are seen in our setting. Renal replacement therapy which should have been offered to these patients is not readily available for children in our country. The aim of this study is to determine the pattern of late presentation and outcome of management of posterior urethral valve in a resource-limited setting. A descriptive retrospective study (19972009) was conducted. Data including pattern of presentation, duration of symptoms, complications, and outcome of initial management were analyzed. Twenty-one patients were seen. The median age was 3 years (2 days13 years). The mean duration of symptoms before presentation was 2.6 years. Nineteen patients (91) presented with urosepsis while 8 patients (36) presented with significant renal insufficiency. Laboratory findings varied from-mild-to marked elevation in serum creatinine. Radiological findings confirmed the diagnosis of posterior urethral valve. We concluded that late presentation is common in our setting. This is associated with high morbidity and mortality rates. Efforts at improving awareness and early diagnosis among the health team should be made to stem the tide. © 2012 Odutola Israel Odetunde et al.
Authors & Co-Authors
Odetunde, Odutola Israel
Nigeria, Naukka
University of Nigeria
Odetunde, Oluwatoyin Arinola
Nigeria, Naukka
University of Nigeria
Ademuyiwa, Adesoji O.
Nigeria, Naukka
University of Nigeria
Nigeria, Lagos
University of Lagos
Okafor, Henrietta Uche
Nigeria, Naukka
University of Nigeria
Ekwochi, Uchenna
Nigeria, Naukka
University of Nigeria
Azubuike, Jonathan Chukwuemeka
Nigeria, Naukka
University of Nigeria
Obianyo, Nene Elsie N.
Nigeria, Naukka
University of Nigeria
Statistics
Citations: 24
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1155/2012/345298
ISSN:
2090214X
e-ISSN:
20902158
Research Areas
Maternal And Child Health
Study Design
Cross Sectional Study
Cohort Study