Overview

PUV or Posterior Urethral Valves ablation is a surgical removal of unwanted valves obstructing urine flow from an infant's bladder. Posterior Urethral Valves (PUVs) are abnormal folds of tissue in the urethra of male babies (newborns/infants) that obstruct the natural flow of the baby's urine from the bladder. This condition is congenital (persisting by birth) and, if untreated, can cause severe urinary obstruction, recurrent infections, kidney damage, or bladder dysfunction. PUV ablation is a minimally invasive surgical procedure that removes or destroys these obstructing valves, restoring normal urine flow and protecting kidney function.

Why is PUV Ablation Needed?

• To relieve urinary blockage caused by obstructive valves.
• To prevent further damage to the bladder and kidneys.
• To end the risk of recurrent urinary tract infections.
• To improve long-term urinary control and kidney function.

Before the Surgery

• Detailed evaluation with ultrasound, voiding cystourethrogram (VCUG), and cystoscopy.
• Test and analysis of kidney function through blood and urine tests.
• Parents learn about the surgical steps, possible risks, and expected outcomes.

The Procedure

• Performed under general anaesthesia.
• A pediatric urologist inserts a small cystoscope into the urethra to visualise the obstructing valves.
• The surgeon ablates abnormal tissue (cut, vaporized, or destroyed) using fine instruments or a laser.
• No external incision is required as the entire procedure is endoscopic.

After the Surgery

• Most children recover quickly, with short hospital stays.
• A doctor may temporarily place a urinary catheter for drainage.
• Medications may help prevent infection and support bladder function.
• Follow-up includes imaging tests and kidney function monitoring to ensure proper healing and long-term outcomes.

Benefits & Risks

Benefits

• Restores standard urinal function, setting the natural flow of urine.
• Prevents progressive damage to the male baby's kidney.
• Minimally invasive with quick recovery.
• Improves bladder function and reduces infections.

Risks

• Rare complications include bleeding, infection, or incomplete valve ablation.
• Some children may require repeat procedures.
• Long-term monitoring is essential for kidney and bladder health.

Recovery & Precautions

• Children can usually return to normal activities within a few days.
• Regular follow-up is necessary to track bladder and kidney health.
• Parents should watch for signs of infection (fever, pain, difficulty urinating).
• Lifelong kidney health surveillance may be necessary in severe cases.

FAQs on Pediatric Posterior Urethral Valve Ablation

At what age is PUV ablation usually performed?

It is often done soon after diagnosis, usually in newborns or infants, to prevent kidney and bladder damage.

Is the surgery painful for the child?

The procedure happens under anaesthesia, so the child does not feel pain during surgery. Post-operative discomfort is minimal and well-managed with medication.

Will my child need repeat surgery?

In some cases, residual valve tissue may require another procedure, but many children do well after the first ablation.

Can PUV affect my child’s long-term kidney function?

Yes, if untreated, it can cause chronic kidney disease. Early detection and proper surgery significantly reduce this risk.

How long will my child need follow-up?

Children with PUV require long-term follow-up into adolescence and adulthood to monitor kidney and bladder health.

Why choose Tender Palm Super-Speciality Hospital for Pediatric Posterior Urethral Valve Ablation in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Pediatric Posterior Urethral Valve Ablation in Lucknow, India. Our experienced pediatric urologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Pediatric Posterior Urethral Valve Ablation cost suitable for patients seeking high-quality urology care in Lucknow, India.

To seek an Expert Consultation for Pediatric Posterior Urethral Valve Ablation in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

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