LONG-TERM CLINICAL OUTCOME IN POSTERIOR U RETHRAL VALVE

Micturition disorders were studied retrospectively in a series of 165 children over a period of 15 years. Among patients without lesions of the upper tract at the time of diagnosis (group A, n = 131), 18 (14%) had persistant nocturnal and diurnal enuresis; one urethral stenosis a nd six vesicoureteric reflux required surgery; three experienced persi stent pollakiuria and enuresis. Among patients with upper urinary trac t damage at the time of diagnosis (group B, n = 34), seven presented w ith recurrent urinary tract infection, five with nocturnal and diurnal enuresis and three with urolithiasis. In the long term, only 52% of t hem had normal renal function and two were successfully transplanted. Micturition disorders following treatment of posterior uretral valves are frequent and usually related to the so-called valve bladder syndro me. Iatrogenic complications and mortality rate have dramatically decr eased during the recent years but long-term renal function impairment remains the most critical problem.