Posterior Urethral Valve-Let's Have Discussion-Past/Present/Future-A never ending story
I am posting a case of PU Vale to initiate discussion.
This patient presented at the age of 1 month, no antenatal USG.
Patient presented with poor stream and lower abdominal palpable bladder lump and fever
S.creatinine : 2.5Mg%
Grossly abnormal electrolytes.
Feeding tube of 6F inserted, Patient kept with pediatrician to treat sepsis, electrolytes and dehydration.
Patient is clinically settled in 3 days. His S.Cratinine is 2.1 Mg% after 7 days of catheter drainage.
USG: Bilateral gross HUN, reduced only slightly after 7 days of catheter drainage.
I am attaching VCUG of this patient
Please discuss management...
I request Prof. Venugopal Sir and Prof S S Joshi Sir to share their vast experience on management perspective of past/present/future..