Impact of transurethral resection on urinary fow rate in children with posterior urethral valve in short term follow-up


Ipekci T., Akin Y., Gulmez H., Ates E., YÜCEL S.

Saudi Medical Journal, cilt.35, sa.5, ss.460-465, 2014 (SCI Expanded İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 35 Konu: 5
  • Basım Tarihi: 2014
  • Dergi Adı: Saudi Medical Journal
  • Sayfa Sayıları: ss.460-465

Özet

Objectives: To evaluate the correction rate of urinary flow rate after posterior urethral valve (PUV) resection for predicting success after operation. Methods: Tis retrospective study was performed between March 2006 and February 2013 at the Department of Pediatric Urology, Akdeniz University School of Medicine, Antalya, Turkey. Of the 67 patients with PUV, 52 patients were enrolled. Physical examinations, urine and blood analyses, urofowmetry (UFM) including maximum fow rate (Qmax) and average fow rate (Qavg), and post voiding residual urine volume (PVR) were recoded. Te UFM, PVR, voiding cystourethrography, serum creatinine levels were recorded in clinical visits. Additional operations were performed if there were symptoms of urinary obstruction. Statistical analyses were carried out. Results: Te mean age was 9±2.9 years. Te mean follow-up was 10.6±4.2 months. Tere was a signifcant diference between preoperative and postoperative serum creatinine (p=0.028), Qmax (p=0.001), Qavg (p=0.002), and PVR (p=0.001). Postoperative serum creatinine was significantly positively correlated with postoperative PVR (p=0.024). In logistic regression analysis, success on PUV resection was associated with preoperative Qavg (p=0.016) and PVR (p=0.004), and postoperative Qavg (p=0.039) and PVR (p=0.030). Of the 42 (80.7%) patients, significant improvements in UFM, PVR, and serum creatinine levels were obtained after first operation. In 10 patients, re-operations were performed. Conclusion: Short-term effectiveness of PUV resection may be predicted by changes in UFM and PVR parameters in selected patients.