Late Presentation of Posterior Urethral Valve in a 24-Year-old Man

Late Presentation of Posterior Urethral Valve in a 24-Year-old Man

OO Moemenam1, NR Njeze2 and OD Ray-Offor3

1Department of Radiology, Federal Medical Centre, Owerri, Imo State, Nigeria;
2Department of Radiation Medicine, University of Nigeria Teaching Hospital, ItukuOzalla, Enugu State, Nigeria;
3Department of Radiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.

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Posterior urethral valve (PUV) is the most common cause of lower urinary tract obstruction in male neonates, with an incidence of one case per 8,000 to 25,000 live births1. The diagnosis is usually made prenatally or at birth, when male newborns are evaluated for prenatal hydronephrosis, or during early childhood, but rarely during adolescence or adulthood. Late presentation of PUV is rare and it has been estimated to account for 10% of cases2. Presentation in adulthood may occur due to the presence of a mild form of the disease devoid of the life threatening complications seen in children with the severe form3.
A rare case of PUV which manifested in adulthood with lower urinary symptoms is presented to create awareness of the likelihood of the disease outside the paediatric age group.

Keywords: Late Presentation of Posterior Urethral Valve, case report

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How to cite this article:
OO Moemenam, NR Njeze and OD Ray-Offor. Late Presentation of Posterior Urethral Valve in a 24-Year-old Man. International Journal of Case Reports, 2019 4:67. DOI: 10.28933/ijcr-2019-03-2005


1. Atwell JD. Posterior urethral valves in the British Isles: a multicentre B.A.P.S review. J Paediatr Surg. 1983; 18:70-4.
2. Young HH, Frontz WA, Baldwin JC. Congenital obstruction of the posterior urethra. J Urol. 2002; 167:265-7.
3. Agbugui JO, Omokhudu O. Posterior urethral valve: an unusual cause of primary male infertility. J ReprodInfertil. 2015; 16:113-5.
4. Krishnan A, de Souza A, Konijeti R, Baskin LS. The anatomy and embryology of posterior urethral valves. J Urol. 2006; 175:1214-20.
5. Warren J, Pike JG, Leonard MP. Posterior urethral valves in Eastern Ontario – a 30 year perspective. Can J Urol. 2004; 11:2210-5.
6. Eke FU, Eke NN. Renal disorders in children: a Nigerian study. PaediatrNephrol. 1994; 8:383-6.
7. Okoro BA, Okafor HU. Pattern of childhood renal disorder in Enugu Nigeria. Niger J Paediatr. 1999; 26:14-18.
8. Gupta RK, Shah HS, Jadhav V. Urethral ratio on voiding cystourethrogram: a comparative method to assess success of posterior urethral valve ablation. J Paediatr Urol. 2010; 6:32-6.
9. Martin J, Anderson J, Raz S. Posterior urethral valves in adults: a report of 2 cases. J Urol. 1977; 118:978-9.
10. Parkhouse HF, Barrat TM, Dillon MJ, Duffy PG, Fay J, Ransley PG, et al. Long-term outcome of boys with posterior urethral valves. Br J Urol. 1988; 62:59-62.

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