Selçuk SARIKAYA, Çağrı ŞENOCAK, Yıldıray YILDIZ, Ekrem ÖZYUVALI, Ömer Faruk BOZKURT

Bilateral üreteropelvik, üreterovezikal bileşke darlığı ve posterior üretral valve birlikteliği: Olgu sunumu

4 yaşında erkek hasta, kliniğimize karın ağrısı ve üriner inkontinans şikayetleri ile başvurdu. Voiding sistoüretrografisinde VCU reflü saptanmadı. İntrvenöz ürografide IVU bilateral grade 5 hidronefroz saptandı. Hastaya öncelikle, ilk operasyondan sonra devam eden posterior üretral valve problemi nedeniyle, posterior valve rezeksiyonu operasyonu uygulandı ve operasyondan sonra hastada postvoiding rezidüel volüm izlenmedi. Manyetik Rezonans Ürografi MRÜ sonucuna göre hastada bilateral Üreteropelvik UP ve üreterovezikal UV darlık izlendi. Sonrasında hastaya öncelikle bilateral üreteroneosistostomi UNC operasyonu uygulandı. Postoperatif 7. ayda hastaya sol pyeloplasti operasyonu uygulandı. Sonrasında sağ pyeloplasti operasyonu planlanan hasta kontrollere gelmedi

Anahtar Kelimeler:

Üreteropelvik bileşke darlığı, üreterovezikal bileşke darlığı, posterior üretral valve

The coexistance of bilateral obstruction at the ureteropelvic and ureterovesical junctions and posterior urethral valve: A case report

A 4 year-old male patient admitted with the complaints of abdominal pain and urinary incontinence. There was no reflux at micturition cystourethrography MCU . And there was grade 5 bilateral hydronephrosis at intravenous urography IVU . Firstly, we performed posterior urethral valve resection because after the first resection, the problem was persisting. After the operation, there was no postvoiding residual volume. According to magnetic resonance urography MRU urography; there were bilateral ureteropelvic UP and ureterovesical UV junction obstructions. Acording to these results, bilateral ureteroneocystostomy UNC operation was performed. On postoperative 7th month, we performed left pyeloplasty. And after that, we also planned pyelopasty for the right side but the patient did not come for follow-ups

Keywords:

Ureteropelvic junction obstruction, Ureterovesical junction obstruction, posterior urethral valve,

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Figure 7: (Nefrostography; shows the passage on postoperative 9th day)