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Posterior urethral valve

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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"It was found that neonatal valve ablation would protect the bladder functions and allow normal bladder cycling and healing. This underscores the importance of routine prenatal screening and early intervention for the valves. These findings suggest that the long-term prognosis of PUV might be improved by prenatal diagnosis [6, 14]."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"The management of children with PUV is a continuous process that starts with the antenatal detection and early fulguration of the valves. The identification of the bladder dysfunction and its appropriate management will prevent the deleterious effects on the upper tracts and improves the long-term survival."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -

"A small, contracted bladder in infancy that progresses to a large capacity, poorly compliant bladder, often found in the presence of persistent upper tract dilatation and nephrogenic diabetes insipidus, has been termed valve bladder. This can create a self-injurious cycle, with persistent dilatation leading to a renal concentrating defect and creating more work for bladder at risk of muscular failure. Regular urodynamic monitoring is crucial in the management of these patients."

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