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Volume 8
Issue 5
10.3390/children8050408
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Brief Report

Prolonged Indwelling Urethral Catheterization as Minimally Invasive Approach for Definitive Treatment of Posterior Urethral Valves in Unstable Premature Babies

by
Silvia Ceccanti
1,
Daniela Pepino
2,
Antonella Giancotti
3,
Ester Ricci
1,
Silvia Piacenti
1 and
Denis A. Cozzi
1,*,†
1
Pediatric Surgery Unit, Sapienza University of Rome, AOU Policlinico Umberto I, 00161 Rome, Italy
2
Pediatric Radiology Unit, Sapienza University of Rome, AOU Policlinico Umberto I, 00161 Rome, Italy
3
Prenatal Diagnosis Unit, Sapienza University of Rome, AOU Policlinico Umberto I, 00161 Rome, Italy
*
Author to whom correspondence should be addressed.
†
Current address: Pediatric Surgery Unit, AOU Policlinico Umberto I, Sapienza University of Rome, Viale Regina Elena, 324, 00161 Rome, Italy.
Academic Editor: Giovanni Cobellis
Children 2021, 8(5), 408; https://doi.org/10.3390/children8050408
Received: 24 April 2021 / Revised: 15 May 2021 / Accepted: 17 May 2021 / Published: 18 May 2021
(This article belongs to the Special Issue Urology in Pediatrics)
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Abstract

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. View Full-Text
Keywords: lower urinary tract obstruction; non-operative treatment; indwelling catheter; urinary ascites lower urinary tract obstruction; non-operative treatment; indwelling catheter; urinary ascites
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MDPI and ACS Style

Ceccanti, S.; Pepino, D.; Giancotti, A.; Ricci, E.; Piacenti, S.; Cozzi, D.A. Prolonged Indwelling Urethral Catheterization as Minimally Invasive Approach for Definitive Treatment of Posterior Urethral Valves in Unstable Premature Babies. Children 2021, 8, 408. https://doi.org/10.3390/children8050408

AMA Style

Ceccanti S, Pepino D, Giancotti A, Ricci E, Piacenti S, Cozzi DA. Prolonged Indwelling Urethral Catheterization as Minimally Invasive Approach for Definitive Treatment of Posterior Urethral Valves in Unstable Premature Babies. Children. 2021; 8(5):408. https://doi.org/10.3390/children8050408

Chicago/Turabian Style

Ceccanti, Silvia, Daniela Pepino, Antonella Giancotti, Ester Ricci, Silvia Piacenti, and Denis A. Cozzi. 2021. "Prolonged Indwelling Urethral Catheterization as Minimally Invasive Approach for Definitive Treatment of Posterior Urethral Valves in Unstable Premature Babies" Children 8, no. 5: 408. https://doi.org/10.3390/children8050408

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