Primary bladder neck obstruction (PBNO) in children in a resource-limited setting

PBNO although rare when missed may have the debilitating effect of obstructive uropathy in children. The gold standard for its diagnosis requires videourodynamics and electromyography (EMG) studies which are not available in nearly all hospitals in developing countries. We present a case demonstrati...

Full description

Bibliographic Details
Main Authors: E. Lumadede Mugalo, W. Abila Akello, Nditika E. Mburu, Wnfred Kimani, D. Kipkemoi Rono, Pius Musau
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442022001620
_version_ 1811309252341399552
author E. Lumadede Mugalo
W. Abila Akello
Nditika E. Mburu
Wnfred Kimani
D. Kipkemoi Rono
Pius Musau
author_facet E. Lumadede Mugalo
W. Abila Akello
Nditika E. Mburu
Wnfred Kimani
D. Kipkemoi Rono
Pius Musau
author_sort E. Lumadede Mugalo
collection DOAJ
description PBNO although rare when missed may have the debilitating effect of obstructive uropathy in children. The gold standard for its diagnosis requires videourodynamics and electromyography (EMG) studies which are not available in nearly all hospitals in developing countries. We present a case demonstrating the usefulness of readily available imaging in diagnosis of PBNO as well as demonstrate effectiveness of alpha blockade in children. MCUG and cystoscopy should suffice in cases of suspected PBNO in neurologically normal children to inform trial of therapy in resource limited settings.
first_indexed 2024-04-13T09:38:57Z
format Article
id doaj.art-70ca5cba903040b6967bcfdf8d769650
institution Directory Open Access Journal
issn 2214-4420
language English
last_indexed 2024-04-13T09:38:57Z
publishDate 2022-09-01
publisher Elsevier
record_format Article
series Urology Case Reports
spelling doaj.art-70ca5cba903040b6967bcfdf8d7696502022-12-22T02:52:00ZengElsevierUrology Case Reports2214-44202022-09-0144102150Primary bladder neck obstruction (PBNO) in children in a resource-limited settingE. Lumadede Mugalo0W. Abila Akello1Nditika E. Mburu2Wnfred Kimani3D. Kipkemoi Rono4Pius Musau5Department of Surgery & Anesthesiology Moi University, School of Medicine, Eldoret, Kenya; Corresponding author.Faculty of Health Sciences, Egerton University, Nakuru, KenyaDepartment of Surgery & Anesthesiology Moi University, School of Medicine, Eldoret, KenyaDepartment of Surgery & Anesthesiology Moi University, School of Medicine, Eldoret, KenyaFaculty of Health Sciences, Egerton University, Nakuru, KenyaDepartment of Surgery & Anesthesiology Moi University, School of Medicine, KenyaPBNO although rare when missed may have the debilitating effect of obstructive uropathy in children. The gold standard for its diagnosis requires videourodynamics and electromyography (EMG) studies which are not available in nearly all hospitals in developing countries. We present a case demonstrating the usefulness of readily available imaging in diagnosis of PBNO as well as demonstrate effectiveness of alpha blockade in children. MCUG and cystoscopy should suffice in cases of suspected PBNO in neurologically normal children to inform trial of therapy in resource limited settings.http://www.sciencedirect.com/science/article/pii/S2214442022001620Voiding dysfunctionChildrenBladder neck obstruction/dysfunctionAlpha blockers
spellingShingle E. Lumadede Mugalo
W. Abila Akello
Nditika E. Mburu
Wnfred Kimani
D. Kipkemoi Rono
Pius Musau
Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
Urology Case Reports
Voiding dysfunction
Children
Bladder neck obstruction/dysfunction
Alpha blockers
title Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
title_full Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
title_fullStr Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
title_full_unstemmed Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
title_short Primary bladder neck obstruction (PBNO) in children in a resource-limited setting
title_sort primary bladder neck obstruction pbno in children in a resource limited setting
topic Voiding dysfunction
Children
Bladder neck obstruction/dysfunction
Alpha blockers
url http://www.sciencedirect.com/science/article/pii/S2214442022001620
work_keys_str_mv AT elumadedemugalo primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting
AT wabilaakello primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting
AT nditikaemburu primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting
AT wnfredkimani primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting
AT dkipkemoirono primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting
AT piusmusau primarybladderneckobstructionpbnoinchildreninaresourcelimitedsetting