{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:27:21Z","timestamp":1787840841509,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Concomitant anterior urethral valves and posterior urethral valves (AUV and PUV) are extremely rare congenital causes of bladder outlet obstruction in boys and can lead to significant renal damage if undiagnosed. A 10-month-old male, antenatally detected with bilateral hydroureteronephrosis, presented with dribbling and a weak urinary stream since birth. Micturating cystosurethrogram (MCU) showed a trabeculated bladder with left vesicoureteric reflux and a pseudodiverticulum inside the anterior urethra, forming an obtuse angle with the ventral urethra, suggestive of an AUV. Cystoscopy confirmed both AUV and PUV, which were fulgurated in a single session with good postoperative recovery. A well-performed MCU and complete cystoscopic evaluation are essential to detect coexisting lesions, as missed AUVs may cause persistent obstruction even after PUV ablation. Awareness of this rare dual pathology facilitates early diagnosis and treatment, preventing progressive bladder and renal dysfunction.<\/jats:p>","DOI":"10.4103\/jiaps.jiaps_389_25","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T15:00:15Z","timestamp":1774105215000},"page":"494-496","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Concomitant Anterior and Posterior Urethral Valves in an Infant: Diagnostic Challenges and Endoscopic Management"],"prefix":"10.4103","volume":"31","author":[{"given":"Gaurav","family":"Shandilya","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahil","family":"Najeeb","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourav","family":"Jana","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreyas","family":"Dudhani","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit Kumar","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"R1-20260511","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1046\/j.1464-410X.2003.04380.x","article-title":"Anterior urethral valves and diverticula","volume":"92","author":"Paulhac","year":"2003","journal-title":"BJU Int"},{"key":"R2-20260511","doi-asserted-by":"crossref","first-page":"35","DOI":"10.3389\/fped.2013.00035","article-title":"Anterior urethral valves:Not such a benign condition\u2026","volume":"1","author":"Cruz-Diaz","year":"2013","journal-title":"Front Pediatr"},{"key":"R3-20260511","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.urology.2015.02.019","article-title":"Concomitant anterior and posterior urethral valves:A comprehensive review of literature","volume":"86","author":"Keihani","year":"2015","journal-title":"Urology"},{"key":"R4-20260511","doi-asserted-by":"crossref","first-page":"101.e1","DOI":"10.1016\/j.jpurol.2020.11.002","article-title":"Are anterior urethral valve and anterior urethral diverticulum two separate entities:A radiological and endoscopic review","volume":"17","author":"Jain","year":"2021","journal-title":"J Pediatr Urol"},{"key":"R5-20260511","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/S0022-5347(17)57642-9","article-title":"Obstructing anterior urethral valves in children","volume":"119","author":"Firlit","year":"1978","journal-title":"J Urol"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_389_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:30:09Z","timestamp":1787837409000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_389_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_389_25","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"assertion":[{"value":"2025-11-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}