The postnatal management of boys in a national cohort of bladder outlet obstruction
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In brief
In brief
National cohort study examining postnatal management strategies for boys with posterior urethral valves, comparing transurethral incision versus primary urinary diversion approaches. Analysis includes circumcision rates and urinary tract infection outcomes across different treatment pathways in this congenital bladder outlet obstruction population.
Written by the GCMD Library team from the article.
Aim
The most common cause of congenital bladder outlet obstruction (BOO) is posterior urethral valves (PUV). Initial treatment requires decompression, but transurethral incision (TUI) or primary diversion is all described. There is no randomized control trial to guide management. This study aims to describe management, circumcision, and UTI rate in a national cohort of PUV boys.
Methods
Boys diagnosed with BOO were recruited (via BAPS CASS) over 1 year with ethics committee approval (ref: 12/SC/0416). Data were collected via questionnaire, presented as number (%), analyzed by Mann–Whitney/chi-square/Fisher Exact tests, and p 1 y) presentations, p