Urolog. pro Praxi, 2003; 6: 233-235

Chlopně zadní uretry u dětí - diagnostika a léčba

MUDr. Zdeněk Dítě
Urologická klinika VFN a 1. LF UK Praha, Subkatedra dětské urologie IPVZ, Praha

Keywords: posterior urethral valve, chronic renal failure, dysfunction of lower urinary tract.

Published: December 31, 2003  Show citation

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Dítě Z. Chlopně zadní uretry u dětí - diagnostika a léčba. Urol. praxi. 2003;4(6):233-235.

Většina chlopní zadní uretry je diagnostikována in utero, což umožňuje včasnou operaci uretrální obstrukce. Primární dysplázie ledvin není po operaci zlepšená, zajistíme ale podmínky pro správný vývoj funkce dolních močových cest a snížíme riziko dalšího poklesu ledvinných funkcí spojené s vysokotlakým močovým měchýřem. Přetrvávající dysfunkce dolních močových cest (valve-bladder syndrom) vyžaduje včasnou diagnózu, odpovídající léčbu a sledování pacientů, abychom zlepšili dlouhodobé výsledky.

Posterior urethral valves in children - diagnosis and management.

Majority of posterior urethral valves are diagnosed in utero, allowing early operation of urethral obstruction. Primary renal dysplasia cannot be improved, but bladder function should be preserved, avoiding decline in renal function conecting with high pressure bladder. Persisting lower urinary tract dysfunction (valve bladder syndrom) necessitates appropriate diagnosis, treatment and follow-up to improve long-term outcomes.

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    References

    1. Briant JE, Joseph DB, Kohaut EC. Renal transplantation in children with posterior urethral valves. J. Urol., 1991; 146: 1585-1587. Go to original source... Go to PubMed...
    2. Close CE, Carr MC, Burns MV, et al. Lower urinary tract changes after early early valve ablation in neonates and infants: Is early diversion warranted? J. Urol. 1997; 157: 649-657. Go to original source... Go to PubMed...
    3. Holmdahl G, Sillen U, Bachelard M. The changing urodynamic pattern in valve bladders during infancy. J. Urol., 1995; 153: 463-467. Go to original source... Go to PubMed...
    4. Parkhouse HF, Barrat TM, Dillon MJ, et al. Long-term outcome of boys with posterior urethral valves. Br. J. Urol., 1988; 62: 59-62. Go to original source... Go to PubMed...
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    6. Williams DI. Urethral valves. Br. J. Urol., 1973; 45: 200. Go to original source... Go to PubMed...

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