Mohan's valvotome for the ablation of posterior urethral valves

Abstract Introduction Treatment of posterior urethral valves (PUV) is now most commonly by endoscopic valve ablation, but this is not readily available in our environment. We describe our experience with Mohan's valvotome for the ablation of PUV. Materials and methods All patients with PUV who...

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Bibliographic Details
Published in:Journal of pediatric urology 2009-08, Vol.5 (4), p.279-282
Main Authors: Ikuerowo, S.O, Omisanjo, O.A, Balogun, B.O, Akinola, R.A, Alagbe-Briggs, O.T, Esho, J.O
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Mohan's valvotomy
Nigeria
Pediatrics
Posterior urethral valves
Radiography
Surgical Instruments
Treatment
Urethra - abnormalities
Urethra - diagnostic imaging
Urethra - surgery
Urethral Obstruction - diagnostic imaging
Urethral Obstruction - surgery
Urinary Retention - diagnostic imaging
Urinary Retention - surgery
Urologic Surgical Procedures - instrumentation
Urologic Surgical Procedures - methods
Urology
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Summary:Abstract Introduction Treatment of posterior urethral valves (PUV) is now most commonly by endoscopic valve ablation, but this is not readily available in our environment. We describe our experience with Mohan's valvotome for the ablation of PUV. Materials and methods All patients with PUV who underwent Mohan's valvotomy over a 28-month period from June 2006 were reviewed. Results There were 35 patients. The median age was 1.5 years (mean age 3.0 years, range 11 days to 14 years). Eleven (31.4%) and 24 (68.6%) patients received the treatment under local and general anaesthesia, respectively. Adequate relief of obstruction was achieved in all patients with marked improvement in the urinary stream. Complications were recorded in two (5.7%) patients; one was re-operated because of recurrent urinary retention, and the other had urinary incontinence which resolved after 3 months. At follow-up of 1–28 months (median 14 months), three (8.6%) patients had died from sepsis and malnutrition. The 32 (91.4%) surviving have good urinary stream, normal renal function (serum creatinine level
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2008.12.001