Variable expression of the congenital obstructive posterior urethral membrane.

Abstract:

OBJECTIVES:To assess the variability of membranous folds in the posterior urethra and their relationship to urethral obstruction. METHODS:Endoscopic video recordings of 19 boys with a membranous lesion in the posterior urethra were obtained over a 2.5-year period. Six had an endoscopy after a prenatal diagnosis of obstructive uropathy and 13 boys presented with either a urinary tract infection or hematuria. RESULTS:Young's type I and type III appearances were seen in all with an obstructive membrane, and those with a less obstructing membrane probably had incidental pathologic conditions. CONCLUSIONS:These observations support the thesis that the congenital attachment of the verumontanum to the anterior wall of the posterior urethra is the embryologic fore-runner to the congenital obstruction of the posterior urethra, and that there may be a variable degree of persistence of that attachment, which in some boys is not obstructive.

journal_name

Urology

journal_title

Urology

authors

Dewan PA,Goh DG

doi

10.1016/S0090-4295(99)80024-7

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

507-9

issue

3

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(99)80024-7

journal_volume

45

pub_type

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