P U Valves-1 year male child with recent H/o febrile UTI

• 22 May 2020 01:05:22 PM
• |Pediatic Urology

! year male child was referred from pediatrician with h/o febrile UTI before 2 weeks.

Comments(6)

• 

  Dr. Aadil Farooq

  23 May 2020 05:33:57 AM

  Sir, 

  A proper history and clinical examination along with spine, buttocks, genitalia and anal opening.

  
  

  Evaluation of upper tract with USG KUB with pvr.

  We can see the reflux on left side. 

  Next, plan for cystourethroscopy and fulgration of valves. 

  Leave catheter for 3-5 days.

  Send urine for protein and creatinine with PCR.

  Continue antibiotic prophylaxis. 

  Sincere Regards. 

  Please guide. 

• 

  Dr. Anil Takvani

  24 May 2020 09:16:55 AM

  What is your choice 

  Smaller cystoscope and bugbi fulguration 

  Or 

  Resectoscope and resect the valves 

  Or 

  Cold cuts 

  Where will you cut /Fulgurate /resect? 

  What is your and your institutional experience? 

  Please discuss... Thanks 

• 

  Dr. Aadil Farooq

  25 May 2020 10:50:00 PM

  Sir,

  I am using both 9 Fr resectoscope

  as well pediatric compact (8/9.5 Fr) Cystoscope with bugbee.

  
  

  I fulgrate at 5,7 and often 12'o clock position with small burst of cutting current 20 watts.

  Catheterize the pt. for 3 days.

• 

  Rahul Kapoor

  27 May 2020 11:18:10 PM

  Anyone has experience using Holmium laser. 

  
  

• 

  Ramesh Babu

  28 May 2020 03:47:41 PM

  Prefer 9-10F resectoscope with coldknife. Better control with resectoscope than bugbee. Cold knife less stricture rate. 

  
  

  
  

• 

  Dr. Anil Takvani

  28 May 2020 05:35:57 PM

  Dear Dr. Ramesh Babu,

  Thanks for posting valuable comments.

  I would like to request you, if available, post video of valve ablation procedure-how you do..

  With that I am requesting all the participants to attach link to video clip of valve ablation procedure if you have...

  Thanks