Article: article from journal or magazin.
Les troubles mictionnels persistant apres traitement d'une valve de l'uretre posterieur: incidence et semiologie. [Persistent urination disorders after treatment of posterior urethral valve: incidence and semiology]
Archives de Pediatrie
4 Suppl 1
Micturition disorders were studied retrospectively in a series of 165 children over a period of 15 years. Among patients without lesions of the upper tract at the time of diagnosis (group A, n = 131), 18 (14%) had persistent nocturnal and diurnal enuresis: one urethral stenosis and six vesicoureteric reflux required surgery; three experienced persistent pollakiuria and enuresis. Among patients with upper urinary tract damage at the time of diagnosis (group B, n = 34), seven presented with recurrent urinary tract infection, five with nocturnal and diurnal enuresis and three with urolithiasis. In the long term, only 52% of them had normal renal function and two were successfully transplanted. Micturition disorders following treatment of posterior urethral valves are frequent and usually related to the so-called valve bladder syndrome. Iatrogenic complications and mortality rate have dramatically decreased during the recent years but long-term renal function impairment remains the most critical problem.
Child Enuresis/epidemiology/etiology Follow-Up Studies Humans Incidence Kidney Failure/epidemiology/etiology Male Postoperative Period Retrospective Studies Urethra/abnormalities/*surgery Urethral Obstruction/complications/*surgery Urinary Incontinence/epidemiology/etiology Urination Disorders/*epidemiology/etiology
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