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A 36-year-old female asked:

hi! my 16months old son is diagnosed with puv and bladder stone. does he have to be operated upon or are their other alternative treatment options?

2 doctor answers2 doctors weighed in
Dr. George Klauber
Specializes in Pediatric Urology
?Pediatric urologist: Should be taking care of this very complex & often challenging diagnosis. Nowadays puv usually diagnosed at prenatal maternal fetal ultrasound. Puv in later life often "over diagnosed" by non-pediatri=c urologists. Suggest second opinion from pediatric urologist, or happy to review ultrasounds & x-rays if these can be enabled or fax'd.
Dr. Gerald Mandell
Nuclear Medicine 52 years experience
Post. urethral valve: Puv is usually diagnosed around birth of child. It is obstruction in the posterior urethra.Extra fold of tissue that narrows urethra and causes obstruction.The bladder becomes thickened and develops out pouchings or diverticula. Severe forms can affect kidney function. Mild forms may delay presentation but incomplete bladder emptying cause stone formation. A cystoscope used to resect valve.

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Last updated Mar 18, 2015

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