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ORIGINAL ARTICLE
Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 7-10

Foley catheter avulsion of posterior urethral valves: An alternative in resource poor setting


1 Department of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospital, Ile Ife, Osun State, Nigeria
2 Department of Radiology, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospital, Ile Ife, Osun State, Nigeria

Correspondence Address:
O A Sowande
Department of Surgery, Paediatric Surgery Unit, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospital, P M B 5538 Ile Ife, Osun State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.153141

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Background: The gold standard for the treatment of posterior urethral valves (PUV) in children is endoscopic ablation of the valves under direct vision. This study reports the use of Foley's catheter balloon in the ablation of posterior urethral valves in children in a developing center in Nigeria. Patients and Methods: Thirteen patients with PUV seen at the Obafemi Awolowo University Teaching Hospital in Ile Ife between January 2004 and March 2008 were included. The patients' age ranged from 7 days to 3 years. Results: The obstruction was completely relieved in 12 out of the 13 patients(88.9%). There were no cases of significant hemorrhage, perineal hematoma, or urinary extravasations. All mothers reported good urinary stream and absence of straining at micturition. Six patients had bilateral hydronephrosis on pre-avulsion USS while 4 had vesico-ureteric reflux on micturating cystourethrogram. All patients had resolution of the hydronephrosis on follow up USS and the electrolytes and urea status has remained normal during the follow-up period ranging from 3 months to 1 year. Conclusion: Foley catheter ablation of PUV in children is a simple and cost-effective technique and may offer an alternative in resources limited environment.


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