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• W2111804660 abstract "No AccessJournal of UrologyBladder Obstruction1 Sep 2000DOES NEONATAL PYELOURETEROSTOMY WORSEN BLADDER FUNCTION IN CHILDREN WITH POSTERIOR URETHRAL VALVES? E. JAUREGUIZAR, P. LOPEZ PEREIRA, M.J. MARTINEZ URRUTIA, L. ESPINOSA, and R. LOBATO E. JAUREGUIZARE. JAUREGUIZAR More articles by this author , P. LOPEZ PEREIRAP. LOPEZ PEREIRA More articles by this author , M.J. MARTINEZ URRUTIAM.J. MARTINEZ URRUTIA More articles by this author , L. ESPINOSAL. ESPINOSA More articles by this author , and R. LOBATOR. LOBATO More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67243-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determine whether long-term bladder dysfunction is more frequent in children with posterior urethral valves who undergo early supravesical urinary diversion (pyeloureterostomy) than in those who undergo valve ablation. Materials and Methods: Urodynamic studies were performed in 59 boys with severe posterior urethral valves who were divided into 2 groups based on initial treatment of valve ablation (30) and bilateral pyeloureterostomy (29). Results: Of the 59 boys 25 (42%) had a normal bladder, including 11 with an over distended bladder and 34 (58%) had bladder dysfunction, including instability in 22, poor compliance in 9 and myogenic failure in 3. Of the 30 boys initially treated with valve ablation 14 (46.6%) had a normal bladder, including 7 with an over distended bladder and 16 (53.4%) had bladder dysfunction, including instability in 10, poor compliance in 4 and myogenic failure in 2. Of the 29 boys initially treated with temporary bilateral pyeloureterostomy 11 (38%) had normal bladders, 4 with an over distended bladder and 18 (62%) had bladder dysfunction, including instability in 12, poor compliance in 5 and myogenic failure in 1. There were no statistically significant differences in the number or type of bladder dysfunction between the diversion and valve ablation groups. Conclusions: Therefore, temporary pyeloureterostomy did not affect bladder function adversely in the long term. References 1 : Long-term urinary continence and renal function in neonates with posterior urethral valves. J Urol1990; 144: 1209. Link, Google Scholar 2 : Urethral lesions in infants and children. In: . St Louis: Mosby1996: 2411. chapt. 51. Google Scholar 3 : Prónostico de los pacientes con válvulas de uretra posterior según tratamiento inicial y su comportamiento urodinámico. Cir Pediatr1994; 7: 128. Google Scholar 4 : Long-term outcome of boys with posterior urethral valves. Br J Urol1988; 62: 59. Crossref, Medline, Google Scholar 5 : The urodynamic consequences of posterior urethral valves. J Urol1990; 144: 122. Link, Google Scholar 6 : Are valve bladders congenital or iatrogenic?. Br J Urol1997; 79: 271. Google Scholar 7 : Congenitally obstructed bladders: fate after prolonged defunctionalization. J Urol1974; 111: 102. Link, Google Scholar 8 : Lower urinary tract changes after early valve ablation in neonates and infants: is early diversion warranted?. J Urol1997; 157: 984. Link, Google Scholar 9 : The effect of temporary cutaneous diversion on ultimate bladder function. J Urol1995; 154: 889. Link, Google Scholar 10 : Comparative urodynamic findings after primary valve ablation, vesicostomy or proximal diversion. J Urol1996; 156: 673. Link, Google Scholar 11 : Cutaneous vesicostomy effect on bladder’s eventual function. Dial Ped Urol1990; vol. 13. Google Scholar 12 : Posterior urethral valves. Br J Urol1996; 78: 275. Google Scholar 13 : Early detection of bladder dysfunction following posterior urethral valves ablation. Eur J Pediatr Surg1996; 6: 163. Crossref, Medline, Google Scholar 14 : Bladder dysfunction in boys with posterior urethral valves before and after puberty. J Urol1996; 155: 694. Link, Google Scholar 15 : Detrusor hypocontractility in children with posterior urethral valves arises before puberty. Br J Urol1998; 81: 81. Google Scholar 16 : The long-term outcome of posterior urethral valves treated with primary valve ablation and observation. J Urol1996; 155: 1730. Link, Google Scholar From the Departments of Paediatric Urology and Nephrology, University Hospital La Paz, Madrid, Spain© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byChua M, Ming J, Carter S, El Hout Y, Koyle M, Noone D, Farhat W, Lorenzo A and Bägli D (2017) Impact of Adjuvant Urinary Diversion versus Valve Ablation Alone on Progression from Chronic to End Stage Renal Disease in Posterior Urethral Valves: A Single Institution 15-Year Time-to-Event AnalysisJournal of Urology, VOL. 199, NO. 3, (824-830), Online publication date: 1-Mar-2018.Jalkanen J, Heikkilä J, Kyrklund K and Taskinen S (2016) Controlled Outcomes for Achievement of Urinary Continence among Boys Treated for Posterior Urethral ValvesJournal of Urology, VOL. 196, NO. 1, (213-218), Online publication date: 1-Jul-2016.Misseri R, Combs A, Horowitz M, Donohoe J and Glassberg K (2018) Myogenic Failure in Posterior Urethral Valve Disease: Real or Imagined?Journal of Urology, VOL. 168, NO. 4 Part 2, (1844-1848), Online publication date: 1-Oct-2002.GLASSBERG K (2018) THE VALVE BLADDER SYNDROME: 20 YEARS LATERJournal of Urology, VOL. 166, NO. 4, (1406-1414), Online publication date: 1-Oct-2001.De GENNARO M, CAPITANUCCI M, SILVERI M, MORINI F and MOSIELLO G (2018) DETRUSOR HYPOCONTRACTILITY EVOLUTION IN BOYS WITH POSTERIOR URETHRAL VALVES DETECTED BY PRESSURE FLOW ANALYSISJournal of Urology, VOL. 165, NO. 6 Part 2, (2248-2252), Online publication date: 1-Jun-2001. Volume 164Issue 3 Part 2September 2000Page: 1031-1034 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsurethraureterbladder diseasesurinary diversionMetricsAuthor Information E. JAUREGUIZAR More articles by this author P. LOPEZ PEREIRA More articles by this author M.J. MARTINEZ URRUTIA More articles by this author L. ESPINOSA More articles by this author R. LOBATO More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2111804660 title "DOES NEONATAL PYELOURETEROSTOMY WORSEN BLADDER FUNCTION IN CHILDREN WITH POSTERIOR URETHRAL VALVES?" @default.
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