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首页> 外文期刊>Journal of Surgical Case Reports >A case of hypospadias, anterior and posterior urethral valves
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A case of hypospadias, anterior and posterior urethral valves

机译：尿道下裂，尿道前，后瓣一例

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This report outlines the case of a 3-year-old boy whose initial presentation was that of asymptomatic hypertension (lowest recording 148/90), found at preoperative check prior to stage 2-correction surgery for distal hypospadias. Upon diagnosis of true hypertension, an ultrasound of the child's renal tract showed evidence of marked hydronephrosis and calyceal dilatation. On the background of deteriorating renal function (Urea 25.5 and Creatinine 188), a Micturating Cystourethrogram was performed, demonstrating posterior urethral dilatation. With difficulties controlling blood pressure, the child was transferred to Urology care, where resection of a posterior urethral valve (PUV) was undertaken. Despite this, renal function deteriorated further and re-cystoscopy identified an anterior urethral valve (AUV), which was also resected. Renal function, although improved, remains poor and blood pressure is controlled with two anti-hypertensives. To the publisher's knowledge, the association between hypospadias, PUVs and AUVs is as yet undocumented.
机译：该报告概述了一个3岁男孩的病例，该男孩的最初表现为无症状性高血压（最低记录148/90），在远端尿道下裂的2期矫正手术前的术前检查中发现。在诊断出真正的高血压后，对该儿童的肾脏进行超声检查可发现明显的肾积水和肾盂扩张。在肾功能恶化（尿素25.5和肌酐188）的背景下，进行了尿道膀胱造影，证实了尿道后扩张。由于血压控制困难，孩子被转入泌尿科护理，在那里进行了后尿道瓣膜切除术（PUV）。尽管如此，肾功能进一步恶化，再次膀胱镜检查发现前尿道瓣（AUV）也被切除。肾脏功能虽然有所改善，但仍然很差，并且通过两种抗高血压药物控制了血压。据发行人所知，尿道下裂，PUV和AUV之间的关联尚未记录。

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