Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy : Challenges in Management
Joint Authors
Odetunde, Odutola Israel
Ademuyiwa, Adesoji Oludotun
Odetunde, Oluwatoyin Arinola
Azubuike, Jonathan Chukwuemeka
Obianyo, Nene Elsie
Ekwochi, Uchenna
Okafor, Henrietta Uche
Source
International Journal of Nephrology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Delayed presentation of patients with posterior urethral valve with complications like severe urosepsis, uremia, and anemia are seen in our setting.
Renal replacement therapy which should have been offered to these patients is not readily available for children in our country.
The aim of this study is to determine the pattern of late presentation and outcome of management of posterior urethral valve in a resource-limited setting.
A descriptive retrospective study (1997–2009) was conducted.
Data including pattern of presentation, duration of symptoms, complications, and outcome of initial management were analyzed.
Twenty-one patients were seen.
The median age was 3 years (2 days–13 years).
The mean duration of symptoms before presentation was 2.6 years.
Nineteen patients (91%) presented with urosepsis while 8 patients (36%) presented with significant renal insufficiency.
Laboratory findings varied from-mild-to marked elevation in serum creatinine.
Radiological findings confirmed the diagnosis of posterior urethral valve.
We concluded that late presentation is common in our setting.
This is associated with high morbidity and mortality rates.
Efforts at improving awareness and early diagnosis among the health team should be made to stem the tide.
American Psychological Association (APA)
Odetunde, Odutola Israel& Odetunde, Oluwatoyin Arinola& Ademuyiwa, Adesoji Oludotun& Okafor, Henrietta Uche& Ekwochi, Uchenna& Azubuike, Jonathan Chukwuemeka…[et al.]. 2012. Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy : Challenges in Management. International Journal of Nephrology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-464468
Modern Language Association (MLA)
Odetunde, Odutola Israel…[et al.]. Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy : Challenges in Management. International Journal of Nephrology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-464468
American Medical Association (AMA)
Odetunde, Odutola Israel& Odetunde, Oluwatoyin Arinola& Ademuyiwa, Adesoji Oludotun& Okafor, Henrietta Uche& Ekwochi, Uchenna& Azubuike, Jonathan Chukwuemeka…[et al.]. Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy : Challenges in Management. International Journal of Nephrology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-464468
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464468