{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:10:12Z","timestamp":1783350612902,"version":"3.54.6"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,2,16]],"date-time":"2015-02-16T00:00:00Z","timestamp":1424044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report our 12\u2010year experience with endoscopic management of patients with concomitant anterior and posterior urethral valves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed the charts of patients referred to us for management of urethral valves from 2000 to 2012 to find cases with concomitant anterior and posterior valves. The diagnosis of valves was first suspected on voiding cystourethrography and confirmed by urethrocystoscopy. We collected available data on patients\u2019 age at diagnosis, clinical presentations, ultrasound and urodynamic findings, and surgical treatments. The final outcome at last follow up was also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 38 cases with anterior urethral valve, six (15.8%) presented concomitant anterior and posterior valves. The age at diagnosis in these patients ranged from antenatal diagnosis to 13\u2009years. Initial presenting symptoms were recurrent urinary tract infection, incontinence, urosepsis and poor urinary stream. All valves were ablated by transurethral fulguration\/resection using small\u2010sized urethrocystoscopes. Among those with concomitant anterior and posterior valves, four patients had vesicoureteral reflux at presentation that resolved in two patients after valve ablation. One patient progressed to renal failure and required dialysis. Bladder hypercontractility and detrusor overactivity were the main urodynamic patterns in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Concomitant anterior and posterior valves seem to be more prevalent than previously assumed, and might be missed on initial assessment. Oblique view voiding cystourethrography with full\u2010length delineation of the urethra is of paramount diagnostic importance when obstruction is suspected. A meticulous urethrocystoscopy should follow for confirming the diagnosis and endoscopic ablation\/resection of the valves.<\/jats:p><\/jats:sec>","DOI":"10.1111\/iju.12712","type":"journal-article","created":{"date-parts":[[2015,2,17]],"date-time":"2015-02-17T01:38:51Z","timestamp":1424137131000},"page":"514-519","source":"Crossref","is-referenced-by-count":11,"title":["Concomitant anterior and posterior urethral valves in pediatrics: A single center experience over 12\u2009years and long\u2010term follow up after endoscopic treatment"],"prefix":"10.1111","volume":"22","author":[{"given":"Abdol\u2010Mohammad","family":"Kajbafzadeh","sequence":"first","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Hossein","family":"Hosseini Sharifi","sequence":"additional","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorena","family":"Keihani","sequence":"additional","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Hossein","family":"Soltani","sequence":"additional","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afshin","family":"Tajali","sequence":"additional","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alborz","family":"Salavati","sequence":"additional","affiliation":[{"name":"Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyedmehdi","family":"Payabvash","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Minnesota Medical Center  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrzad","family":"Mehdizadeh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Radiology Children's Hospital Medical Center Pediatric Center of Excellence Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,16]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"173","article-title":"Congenital obstructive valves and diverticula of the anterior urethra","volume":"31","author":"Jehannin B","year":"1990","journal-title":"Chir. 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