Prolonged Indwelling Urethral Catheterization as Minimally Invasive Approach for Definitive Treatment of Posterior Urethral Valves in Unstable Premature Babies.
Silvia CeccantiDaniela PepinoAntonella GiancottiEster RicciSilvia PiacentiDenis A CozziPublished in: Children (Basel, Switzerland) (2021)
Premature newborns with posterior urethral valves (PUV) may present with medical conditions taking priority over definitive surgical care. We encountered three of such cases who underwent initial bladder decompression via transurethral catheterization and waited 2-3 weeks until they were fit enough for voiding cysto-urethrography to confirm PUV. An unexpected good urinary flow and negligible residual urine volume were documented during micturition, suggestive of valve disruption induced by insertion and prolonged duration of indwelling urethral catheter drainage. Cystoscopy documented non-obstructing remnant leaflets. Non-operative treatment may be considered as a viable alternative therapeutic option for PUV in tiny babies facing prolonged intensive care unit stay.
Keyphrases
- minimally invasive
- intensive care unit
- aortic valve
- ultrasound guided
- gestational age
- healthcare
- urinary incontinence
- spinal cord injury
- pregnant women
- palliative care
- mitral valve
- aortic valve replacement
- squamous cell carcinoma
- urinary tract infection
- coronary artery disease
- aortic stenosis
- transcatheter aortic valve implantation
- robot assisted
- preterm infants
- benign prostatic hyperplasia
- extracorporeal membrane oxygenation
- urinary tract