Posterior Urethral Valve: Delayed presentation in adolescenc
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Posterior urethral valves (PUV) are now most frequently suspected by antenatal ultrasound. Postnatally, PUV can have a broad spectrum of presentation ranging from a life threatening pulmonary hypoplasia due to oligohydramnios, to milder obstruction with few pathological signs or symptoms that may escape early detection and manifest only in later childhood, adolescence or even adulthood. Older patients usually present with lower urinary tract symptoms (LUTS), overflow incontinence, recurrent infections, or less commonly, ejaculatory dysfunction, gross haematuria and renal insufficiency. We present the rare case of an adolescent who presented late with overflow urinary incontinence and preserved renal function.

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