Consensus on the Management of Posterior Urethral Valves from Antenatal Period to Puberty

J Indian Assoc Pediatr Surg. Jan-Mar 2019;24(1):4-14. doi: 10.4103/jiaps.JIAPS_148_18.


The need for successful management of posterior urethral valves always captivates the minds of pediatric surgeons. Its success, however, depends on several factors ranging from prenatal preservation of upper tracts to postoperative pharmacological compliance. Regardless of measures available, some cases do not respond and progress to end stage. The management depends on several issues ranging from age and severity at presentation to long-term follow-up and prevention of secondary renal damage and managing valve bladder syndrome. This article is based on a consensus to the set of questionnaires, prepared by research section of Indian Association of Paediatric Surgeons and discussed by experienced pediatric surgeons based in different institutions in the country. Standard operating procedures for conducting a voiding cystourethrogram and cystoscopy were formulated. Age-wise contrast dosage was calculated for ready reference. Current evidence from literature was also reviewed and included to complete the topic.

Keywords: Antenatal obstructive uropathy; chronic kidney disease; posterior urethral valves; renal dysplasia; valve bladder.

Publication types

  • Review