Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313597730> ?p ?o ?g. }
- W4313597730 abstract "Posterior Urethral Valves (PUV) are the most common cause of lower urinary tract obstruction. More severe forms are detected early in pregnancy (mainly type I), while other forms are usually discovered later in childhood when investigating lower urinary tract symptoms. Bladder dysfunction is common and is associated with urinary incontinence in about 55% (0%–72%). Despite the removal of the obstruction by urethral valve ablation, pathological changes of the urinary tract can occur with progressive bladder dysfunction, which can cause deterioration of the upper urinary tract as well. For this reason, all children with PUV require long-term follow-up, always until puberty, and in many cases life-long. Therefore, management of PUV is not only limited to obstruction relief, but prevention and treatment of bladder dysfunction, based on urodynamic observations, is paramount. During time, urodynamic patterns may change from detrusor overactivity to decreased compliance/small capacity bladder, to myogenic failure (valve bladder). In the past, an aggressive surgical approach was performed in all patients, and valve resection was considered an emergency procedure. With the development of fetal surgery, vesico-amniotic shunting has been performed as well. Due to improvements of prenatal ultrasound, the presence of PUV is usually already suspected during pregnancy, and subsequent treatment should be performed in high-volume centers, with a multidisciplinary, more conservative approach. This is considered to be more effective and safer. Primary valve ablation is performed after clinical stability and is no longer considered an emergency procedure after birth. During childhood, a multidisciplinary approach (pediatric urologist, nephrologist, urotherapist) is recommended as well in all patients, to improve toilet training, using an advanced urotherapy program with medical treatments and urodynamic evaluations. The aim of this paper is to present our single center experience over 30 years." @default.
- W4313597730 created "2023-01-06" @default.
- W4313597730 creator A5020351815 @default.
- W4313597730 creator A5033613240 @default.
- W4313597730 creator A5035573474 @default.
- W4313597730 creator A5038875597 @default.
- W4313597730 creator A5055609966 @default.
- W4313597730 creator A5073226850 @default.
- W4313597730 creator A5078026183 @default.
- W4313597730 creator A5086350638 @default.
- W4313597730 date "2023-01-06" @default.
- W4313597730 modified "2023-10-01" @default.
- W4313597730 title "Posterior urethral valves: Role of prenatal diagnosis and long-term management of bladder function; a single center point of view and review of literature" @default.
- W4313597730 cites W114731730 @default.
- W4313597730 cites W1525372304 @default.
- W4313597730 cites W1532251375 @default.
- W4313597730 cites W1596945002 @default.
- W4313597730 cites W1614819384 @default.
- W4313597730 cites W1698829200 @default.
- W4313597730 cites W1720661199 @default.
- W4313597730 cites W1844598633 @default.
- W4313597730 cites W1964133999 @default.
- W4313597730 cites W1968769457 @default.
- W4313597730 cites W1969324184 @default.
- W4313597730 cites W1969958441 @default.
- W4313597730 cites W1977088703 @default.
- W4313597730 cites W1979121357 @default.
- W4313597730 cites W1979694618 @default.
- W4313597730 cites W1981055087 @default.
- W4313597730 cites W1982221554 @default.
- W4313597730 cites W1982333144 @default.
- W4313597730 cites W1986325975 @default.
- W4313597730 cites W1989066466 @default.
- W4313597730 cites W1990518073 @default.
- W4313597730 cites W1991162866 @default.
- W4313597730 cites W1992256238 @default.
- W4313597730 cites W1992571845 @default.
- W4313597730 cites W2002684330 @default.
- W4313597730 cites W2005991063 @default.
- W4313597730 cites W2008036304 @default.
- W4313597730 cites W2009276254 @default.
- W4313597730 cites W2013799992 @default.
- W4313597730 cites W2021124240 @default.
- W4313597730 cites W2025377533 @default.
- W4313597730 cites W2025932021 @default.
- W4313597730 cites W2032536858 @default.
- W4313597730 cites W2033592680 @default.
- W4313597730 cites W2036189299 @default.
- W4313597730 cites W2049400204 @default.
- W4313597730 cites W2051948016 @default.
- W4313597730 cites W2056766776 @default.
- W4313597730 cites W2058807371 @default.
- W4313597730 cites W2059476771 @default.
- W4313597730 cites W2061790602 @default.
- W4313597730 cites W2062375346 @default.
- W4313597730 cites W2062458882 @default.
- W4313597730 cites W2063631752 @default.
- W4313597730 cites W2067038817 @default.
- W4313597730 cites W2067262538 @default.
- W4313597730 cites W2068350249 @default.
- W4313597730 cites W2070805089 @default.
- W4313597730 cites W2072024164 @default.
- W4313597730 cites W2073639608 @default.
- W4313597730 cites W2077291744 @default.
- W4313597730 cites W2078384489 @default.
- W4313597730 cites W2090660491 @default.
- W4313597730 cites W2094468624 @default.
- W4313597730 cites W2095236281 @default.
- W4313597730 cites W2098206451 @default.
- W4313597730 cites W2101026087 @default.
- W4313597730 cites W2104433769 @default.
- W4313597730 cites W2104752924 @default.
- W4313597730 cites W2114571091 @default.
- W4313597730 cites W2116211822 @default.
- W4313597730 cites W2126268427 @default.
- W4313597730 cites W2127096420 @default.
- W4313597730 cites W2129284728 @default.
- W4313597730 cites W2132394272 @default.
- W4313597730 cites W2132888384 @default.
- W4313597730 cites W2135641368 @default.
- W4313597730 cites W2138956182 @default.
- W4313597730 cites W2142705716 @default.
- W4313597730 cites W2143436507 @default.
- W4313597730 cites W2156332433 @default.
- W4313597730 cites W2165439323 @default.
- W4313597730 cites W2167583184 @default.
- W4313597730 cites W2179653255 @default.
- W4313597730 cites W2403914036 @default.
- W4313597730 cites W2439623906 @default.
- W4313597730 cites W2441103955 @default.
- W4313597730 cites W2470407132 @default.
- W4313597730 cites W2525523156 @default.
- W4313597730 cites W2527873397 @default.
- W4313597730 cites W2590955482 @default.
- W4313597730 cites W2742036108 @default.
- W4313597730 cites W2747721206 @default.
- W4313597730 cites W2768172292 @default.
- W4313597730 cites W2890308634 @default.
- W4313597730 cites W2890503875 @default.
- W4313597730 cites W2899564701 @default.