Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management
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...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2012/345298 |
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| author | Odutola Israel Odetunde Oluwatoyin Arinola Odetunde Adesoji Oludotun Ademuyiwa Henrietta Uche Okafor Uchenna Ekwochi Jonathan Chukwuemeka Azubuike Nene Elsie Obianyo |
| author_facet | Odutola Israel Odetunde Oluwatoyin Arinola Odetunde Adesoji Oludotun Ademuyiwa Henrietta Uche Okafor Uchenna Ekwochi Jonathan Chukwuemeka Azubuike Nene Elsie Obianyo |
| author_sort | Odutola Israel Odetunde |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2c4f6fb36d374eedbd6c852f943bcbf8 |
| institution | Kabale University |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-2c4f6fb36d374eedbd6c852f943bcbf82025-02-03T01:27:49ZengWileyInternational Journal of Nephrology2090-214X2090-21582012-01-01201210.1155/2012/345298345298Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in ManagementOdutola Israel Odetunde0Oluwatoyin Arinola Odetunde1Adesoji Oludotun Ademuyiwa2Henrietta Uche Okafor3Uchenna Ekwochi4Jonathan Chukwuemeka Azubuike5Nene Elsie Obianyo6Department of Pediatrics, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaPediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaPediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaPediatric Nephrology Unit, Department of Pediatrics, University of Nigeria Teaching Hospital, Ituku Ozalla 402108, Enugu State, NigeriaDepartment of Pediatrics, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaDepartment of Pediatrics, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaPediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu 400261, Enugu State, NigeriaDelayed 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.http://dx.doi.org/10.1155/2012/345298 |
| spellingShingle | Odutola Israel Odetunde Oluwatoyin Arinola Odetunde Adesoji Oludotun Ademuyiwa Henrietta Uche Okafor Uchenna Ekwochi Jonathan Chukwuemeka Azubuike Nene Elsie Obianyo Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management International Journal of Nephrology |
| title | Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management |
| title_full | Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management |
| title_fullStr | Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management |
| title_full_unstemmed | Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management |
| title_short | Outcome of Late Presentation of Posterior Urethral Valves in a Resource-Limited Economy: Challenges in Management |
| title_sort | outcome of late presentation of posterior urethral valves in a resource limited economy challenges in management |
| url | http://dx.doi.org/10.1155/2012/345298 |
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