Anterior urethral valves in the fossa navicularis in a newborn: report of a case and review of the literature

Pediatr Med Chir. 2011 Mar-Apr;33(2):102-3.

Abstract

Anterior urethral valves in the fossa navicularis is an exceptionally uncommon causes of lower urinary tract obstruction in newborn. The authors report a case of anterior urethral valves in thefossa navicularis in an 5 days-old boy, that observation of the voided stream revealed a filiform micturition and marked ballooing of the penile urethra. The meatus was located normally and of normal calibre. Voiding cystourethrography showed obstruction at the fossa navicularis, and a hyghly trabeculated bladder. Ultrasonography showed a severe bilateral hydroureteronephrosis. After a temporary soprapubic cystostomy, the urethroscopy revealed a valve on the floor of the fossa navicularis, excised with tenotomy scissor. Postoperatively ,urethral obstruction was relieved immediately by a good urinary stream. At 6 months follow-up the patient voided with a good stream and ultrasonography revealed complete disappearance of hydroureteronephrosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Humans
  • Infant, Newborn
  • Male
  • Urethra / abnormalities*
  • Urethra / surgery*