85 -3 (77) 2025 - Abdiev B.R., Agzamxodjaev S.T. - LONG-TERM OUTCOMES OF SURGICAL TREATMENT OF POSTERIOR URETHRAL VALVES IN CHILDREN
LONG-TERM OUTCOMES OF SURGICAL TREATMENT OF POSTERIOR URETHRAL VALVES IN CHILDREN
Abdiev B.R. - Tashkent Pediatric Medical Institute
Agzamxodjaev S.T. - Tashkent Pediatric Medical Institute
Resume
The article presents the results of a study on the long-term outcomes of surgical treatment of posterior urethral valves (PUV) in children. Based on an analysis of data from 78 patients treated between 2016 and 2022, the effectiveness of various surgical methods, including primary valve ablation and vesicostomy, was evaluated. It was found that vesicostomy provides more reliable restoration of renal function in children with severe impairments. Primary valve ablation was identified as the preferred method, but its effectiveness is limited in cases of significant urinary system dysfunction. The study highlights the importance of early diagnosis and appropriate selection of surgical treatment methods to prevent chronic kidney disease. The findings emphasize the need for further research to optimize treatment strategies for PUV.
Keywords: posterior urethral valve (PUV), children, urinary tract obstruction, vesicostomy, primary valve ablation, chronic kidney disease (CKD), early diagnosis, long-term outcomes.
First page
488
Last page
492
For citation:Abdiev B.R., Agzamxodjaev S.T. - LONG-TERM OUTCOMES OF SURGICAL TREATMENT OF POSTERIOR URETHRAL VALVES IN CHILDREN//New Day in Medicine 3(77)2025 488-492 https://https://newdayworldmedicine.com/en/new_day_medicine/3-77-2025
List of References
- Дьяков Д.Д. Отдаленные результаты хирургического лечения врожденной обструктивной уропатии у детей: диссертация. [Электронный ресурс]. URL: https://medical-diss.com/medicina/otdalennye-rezultaty-hirurgicheskogo-lecheniya-vrozhdennoy-obstruktivnoy-uropatii-u-detey.
- Иванов И.И., Петров П.П. Процессирование уретерогидронефроза в отдаленном периоде после аблации клапанов задней уретры у детей. [Электронный ресурс]. https://cyberleninka.ru/article/n/progressirovanie-ureterogidronefroza-v-otdalennom-periode-posle-ablatsii-klapanov-zadney-uretry-u-detey.
- Коваленко К.К. Клапаны уретры: причины, симптомы, диагностика и лечение. https://www.krasotaimedicina.ru/diseases/zabolevanija_urology/urethral-valves.
- Макаров М.М. Сроки диагностики клапанов задней уретры и их влияние на клинические результаты. [Электронный ресурс]. https://uroweb.ru/article/db-article-sroki-diagnostiki-klapanov-zadnei-uretry-i-ikh-vliyanie-na-klinicheskie-rezultaty.
- Сидоров С.С., Александров А.А. Отдаленные результаты хирургического лечения обструктивных уропатий и проблемы послеоперационной реабилитации мочевой системы у детей. [Электронный ресурс].https://cyberleninka.ru/article/n/otdalennye-rezultaty-hirurgicheskogo-lecheniya-obstruktivnyh-uropatiy-i-problemy-posleoperatsionnoy-reabilitatsii-mochevoy-sistemy-u.
- Chua M.E., Ming J.M., Carter S., El Hout Y., Koyle M.A., Noone D., Farhat W.A., Lorenzo A.J., Bägli D.J. 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 Analysis. J. Urol. 2018;199:824-830.
- Ezel Çelakil M., Ekinci Z., Bozkaya Yücel B., Mutlu N., Günlemez A., Bek K. Outcome of posterior urethral valve in 64 children: A single center’s 22-year experience. Minerva Urol. Nefrol. 2019;71:651-656.
- Hosseini S.M., Zarenezhad M., Kamali M., Gholamzadeh S., Sabet B., Alipour F. Comparison of early neonatal valve ablation with vesicostomy in patient with posterior urethral valve. Afr. J. Paediatr. Surg. 2015;12:270-272.
- Kim S.J., Jung J., Lee C., Park S., Song S.H., Won H.S., Kim K.S. Long-term outcomes of kidney and bladder function in patients with a posterior urethral valve. Medicine. 2018;97:e11033.
- Niyogi A., Lumpkins K., Robb A., McCarthy L. Cystometrogram appearance in PUV is reliably quantified by the shape, wall, reflux and diverticuli (SWRD) score, and presages the need for intervention. J. Pediatr. Urol. 2017;13:265.e1-265.
file
download