Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital
Abstract Background The incidence of posterior urethral valve (PUV) is estimated at 1:5000–1:8000 males. It is the most common paediatric urologic urgency and the most common cause of male obstructive uropathy and chronic renal failure in children. The study aimed to describe the experience of Yaoun...
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| Format: | Article |
| Language: | English |
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BMC
2018-05-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-018-0364-1 |
| _version_ | 1818614613343731712 |
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| author | Faustin Felicien Mouafo Tambo Paul Nkemtendong Tolefac Marcelin Ngowe Ngowe Jacqueline Ze Minkande Landry Mbouche Georgette Guemkam Neville Alemnju Telelen Fru Fobuzshi Angwafo Aurelien Maurice Sosso |
| author_facet | Faustin Felicien Mouafo Tambo Paul Nkemtendong Tolefac Marcelin Ngowe Ngowe Jacqueline Ze Minkande Landry Mbouche Georgette Guemkam Neville Alemnju Telelen Fru Fobuzshi Angwafo Aurelien Maurice Sosso |
| author_sort | Faustin Felicien Mouafo Tambo |
| collection | DOAJ |
| description | Abstract Background The incidence of posterior urethral valve (PUV) is estimated at 1:5000–1:8000 males. It is the most common paediatric urologic urgency and the most common cause of male obstructive uropathy and chronic renal failure in children. The study aimed to describe the experience of Yaoundé gynaeco-obstetrics and paediatric hospital in the management of PUV. Methods Retrospectively, medical records were retrieved over a ten year period and all data recorded and analyzed for study objectives. Patients were called and evaluated for outcomes regarding morbidity and mortality. Results A total of 18 patients all males were managed over the ten year period, given prevalence of 13 cases/100,000 admissions and an admission rate of 2 per annum. The median age at presentation was 22 months and 13 (72.2%) participants presented late. Voiding urethrocystogram was done in all the participants where it showed dilated and elongated posterior urethral valves in 16 (88.9%) of the cases. Endoscopic valve ablation resulted in the relief of obstruction in all but 3 (16.7%) participants that had residual valves and 2 (11.2%) participants that had urethral stenosis. Type I valves were most common in 14 (78.0%) participants. The mean duration of follow up was 34.56 ± 21.47 months. Complications at final follow up were: 10 (55.6%) chronic renal failure, 2 (11.2%) end-stage renal failure. The case fatality rate was 5.6%. Conclusion Many patients present late in our setting with already established complications. There is the need to counsel parents/guardians on the importance of long-term follow up after relief of obstruction. |
| first_indexed | 2024-12-16T16:20:48Z |
| format | Article |
| id | doaj.art-83e2cbfd181a4fc1b36e8acf6d69440d |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-16T16:20:48Z |
| publishDate | 2018-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-83e2cbfd181a4fc1b36e8acf6d69440d2022-12-21T22:24:55ZengBMCBMC Urology1471-24902018-05-011811710.1186/s12894-018-0364-1Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospitalFaustin Felicien Mouafo Tambo0Paul Nkemtendong Tolefac1Marcelin Ngowe Ngowe2Jacqueline Ze Minkande3Landry Mbouche4Georgette Guemkam5Neville Alemnju Telelen6Fru Fobuzshi Angwafo7Aurelien Maurice Sosso8Departmennt of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1Specialized Internship Program, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1Department of Surgery, Faculty of Health Sciences, University of BueaDepartment of Anaesthesia and Intensive Care, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1Paediatric Surgery Unit, Yaoundé Gynaeco-Obstetric and Paediatric HospitalPaediatric Nephrology Unit, Mother and Child Centre, Chantal Biya FoundationDepartment of Surgery, Faculty of Health Sciences, University of BueaDepartmennt of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1Departmennt of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1Abstract Background The incidence of posterior urethral valve (PUV) is estimated at 1:5000–1:8000 males. It is the most common paediatric urologic urgency and the most common cause of male obstructive uropathy and chronic renal failure in children. The study aimed to describe the experience of Yaoundé gynaeco-obstetrics and paediatric hospital in the management of PUV. Methods Retrospectively, medical records were retrieved over a ten year period and all data recorded and analyzed for study objectives. Patients were called and evaluated for outcomes regarding morbidity and mortality. Results A total of 18 patients all males were managed over the ten year period, given prevalence of 13 cases/100,000 admissions and an admission rate of 2 per annum. The median age at presentation was 22 months and 13 (72.2%) participants presented late. Voiding urethrocystogram was done in all the participants where it showed dilated and elongated posterior urethral valves in 16 (88.9%) of the cases. Endoscopic valve ablation resulted in the relief of obstruction in all but 3 (16.7%) participants that had residual valves and 2 (11.2%) participants that had urethral stenosis. Type I valves were most common in 14 (78.0%) participants. The mean duration of follow up was 34.56 ± 21.47 months. Complications at final follow up were: 10 (55.6%) chronic renal failure, 2 (11.2%) end-stage renal failure. The case fatality rate was 5.6%. Conclusion Many patients present late in our setting with already established complications. There is the need to counsel parents/guardians on the importance of long-term follow up after relief of obstruction.http://link.springer.com/article/10.1186/s12894-018-0364-1Posterior urethral valvesEpidemiologicDiagnosticYaoundéLate presentation |
| spellingShingle | Faustin Felicien Mouafo Tambo Paul Nkemtendong Tolefac Marcelin Ngowe Ngowe Jacqueline Ze Minkande Landry Mbouche Georgette Guemkam Neville Alemnju Telelen Fru Fobuzshi Angwafo Aurelien Maurice Sosso Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital BMC Urology Posterior urethral valves Epidemiologic Diagnostic Yaoundé Late presentation |
| title | Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital |
| title_full | Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital |
| title_fullStr | Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital |
| title_full_unstemmed | Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital |
| title_short | Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital |
| title_sort | posterior urethral valves 10 years audit of epidemiologic diagnostic and therapeutic aspects in yaounde gynaeco obstetric and paediatric hospital |
| topic | Posterior urethral valves Epidemiologic Diagnostic Yaoundé Late presentation |
| url | http://link.springer.com/article/10.1186/s12894-018-0364-1 |
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