Title: Follow Up With Clinical Characteristics and Somatic Growth in Posterior Urethral Valve
Authors: Dr Lalit Kumar, Dr Rahul Tiwari, Dr Amit Sandhu, Dr Sakshi Agarwal, Dr Bajrang Tak, Dr Ashok Kumar, Dr Mahesh Joshi
DOI: http://dx.doi.org/10.18535/jmscr/v4i6.70
Abstract
Purpose- Follow up of PUV patients is very crucial. We analyzed the long term follow up in posterior urethral valves with clinical characteristics and somatic growth.
Materials and methods- Study has been carried out both retrospectively. Fifty cases of PUV of age ≥3 years were included in the study. 32 patients required urinary diversion procedure along with primary valve fulguration while 18 patients were managed only by primary valve fulguration. Fifty identical age matched children were selected as controls. In both case and control group somatic growth was recorded in 3 followups at 6 months interval.
Results- The mean weight and height at the time of initial presentation of study group was 9.40±7.81kg & 72.55±12.77cm and for control group 15.83±4.15kg & 86.35±13.05cm. In the 3rd follow up the mean weight and height of study group was 20.72±11.07kg &112.00±23.1cm and for control group 25.45±10.21kg & 114.25±24.22cm. The mean weight and height at the 3rd follow up in primary valve fulguration group was 22.78±14.858kg & 44.94±11.644 inch while in diversion with fulguration was 19.56±8.310kg & 44.72±7.787 inch.
Conclusions- Somatic growth remains significantly lower in PUV patients. Proper nutritional support is essential to achieve near normal somatic growth.
Manuscript Keywords- Posterior urethral valves; Urinary Diversion; Urinary tract infection
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