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PUV — RACP Paediatrics MCQ

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ModerateNephrologyPUVRACP Paediatrics

A male neonate has poor urinary stream, bilateral hydronephrosis, distended bladder. VCUG shows dilated posterior urethra with trabeculated bladder. What is the diagnosis?

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Correct answer: E — Posterior urethral valves

Bilateral hydronephrosis + distended bladder + poor stream + dilated posterior urethra = PUV. Most common severe obstructive uropathy in boys. Urgent catheterisation then cystoscopic ablation.

Reference: RCH Melbourne – 2023 – Obstructive Uropathy CPG