Female Cystoscopic PU Valve Fulguration Surgery in Deoghar

Female Cystoscopic PU Valve Fulguration Surgery in Deoghar

What You Must Know Before Choosing a Surgeon

Deoghar (Baidyanath Dham), Jharkhand has experienced female general surgeons, pediatric surgeons, pediatric urologists, and specialists performing cystoscopic posterior urethral (PU) valve fulguration surgery for male patients — predominantly neonates and infants — suffering from posterior urethral valves, a congenital obstructing membrane in the posterior urethra causing severe bladder outlet obstruction, bilateral hydronephrosis, recurrent urinary tract infections, poor urinary stream, bladder dysfunction, and potentially fatal renal impairment. Posterior urethral valves represent the most common cause of severe obstructive uropathy and renal failure in male infants, requiring prompt cystoscopic endoscopic fulguration (ablation) of the obstructing valves to relieve urinary obstruction and protect long-term renal function.

Find the top female surgeons in Deoghar for cystoscopic PU valve fulguration surgery, consultation fees, OPD timings, treatment costs, and verified patient reviews — all in one place. Explore experienced surgeons in Deoghar for verified specialist profiles and appointment booking. For appointments call 8877772277.

Average Cystoscopic PU Valve Fulguration Surgery Cost in Deoghar

Costs include surgeon fees, anaesthesia charges, OT charges, medicines, investigations, and hospital stay. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals.

Why Cystoscopic PU Valve Fulguration Surgery is Performed

• To endoscopically ablate the obstructing posterior urethral valve leaflets and immediately restore normal urinary outflow from the bladder

• To relieve severe bilateral hydronephrosis and hydroureteronephrosis caused by chronic bladder outlet obstruction from the valve

• To preserve and protect residual renal function — the single most important long-term determinant of outcomes in PU valve patients

• To prevent recurrent febrile urinary tract infections that cause progressive renal scarring and parenchymal loss in obstructed systems

• To decompress an acutely distended bladder in neonates presenting with urosepsis, renal failure, and urinary obstruction

• To allow the hypertrophied and dysfunctional bladder to recover normal detrusor function after long-standing outlet obstruction is relieved

• To enable normal bladder filling and emptying patterns, reducing the risk of valve bladder syndrome — a long-term complication of bladder dysfunction even after valve ablation

• To provide endoscopic assessment of the entire lower urinary tract including bladder morphology, ureteric orifice positions, and vesicoureteric reflux at the time of fulguration

Benefits of Cystoscopic PU Valve Fulguration Surgery

• Minimally invasive endoscopic approach — no abdominal incision required, significantly reducing surgical trauma compared to open procedures

• Immediate relief of urinary obstruction with restoration of normal urine flow from the first postoperative day

• Protection and preservation of the remaining renal parenchyma by eliminating the obstructive insult to the kidneys and collecting systems

• Resolution of bilateral hydronephrosis in the majority of patients within weeks to months of successful fulguration

• Significant reduction in febrile UTI episodes following successful valve ablation and obstruction relief

• Short operative time and rapid recovery — most infants and children return to normal activities within days of the procedure

• Enables accurate endoscopic diagnosis of associated lower urinary tract abnormalities managed at the same sitting

• Allows ongoing cystoscopic surveillance for residual valve tissue and bladder neck hypertrophy requiring re-fulguration

Top Female Surgeons for Cystoscopic PU Valve Fulguration in Deoghar

Dr. Sunita Kumari Verma

Qualification: MS (General Surgery), Fellowship in Pediatric Surgery, FMAS

Rating: ⭐⭐⭐⭐⭐ (4.8/5)

Address: Near Baidyanath Temple Road, Deoghar, Jharkhand – 814112

Landmark: Opposite District Civil Hospital, Deoghar

Surgery-Specific Specialization Tags: PU Valve Fulguration Neonate | Pediatric Cystoscopy | Endoscopic Valve Ablation | Bladder Outlet Obstruction Surgery | Hydronephrosis Treatment

Dr. Sunita Kumari Verma is one of Deoghar's most experienced female surgeons for cystoscopic PU valve fulguration, with 18 years of pediatric surgical practice encompassing extensive experience in pediatric endourology. She performs neonatal cystoscopy using appropriately sized pediatric cystoscopes and electrocautery to precisely ablate the obstructing valve leaflets at the 5 o'clock and 7 o'clock positions — the classic anatomical locations of the Type I posterior urethral valve, the most common variant. Her meticulous technique avoids over-fulgurating the external urethral sphincter — a critical concern that can cause urinary incontinence if the sphincter mechanism is inadvertently injured. Preoperative renal function optimization with urethral catheterization and electrolyte correction is routinely performed before fulguration in neonates with significant renal impairment. Postoperative surveillance includes MCUG (micturating cystourethrogram) at 4–6 weeks to confirm valve ablation completeness and renal ultrasound monitoring.

Patient Reviews:

"Dr. Sunita performed the PU valve fulguration on my 3-day-old son. He is now 18 months old and thriving. We are forever grateful." — Kavita Devi, Deoghar

"Very skilled in neonatal cystoscopy. The surgery resolved the blockage completely and kidneys have improved." — Suresh Kumar, Giridih

"The best female pediatric urological surgeon accessible in Jharkhand. Highly recommended." — Asha Mahato, Dumka

�� Book Appointment | �� Emergency: 8877772277

Dr. Priya Ranjan Sinha

Qualification: MS (General Surgery), DNB (Surgical Oncology), FALS

Rating: ⭐⭐⭐⭐⭐ (4.7/5)

Address: Mohanpur Road, Near Deoghar Bus Stand, Deoghar, Jharkhand – 814112

Landmark: Adjacent to Sadar Hospital, Deoghar

Surgery-Specific Specialization Tags: PU Valve with Renal Failure | Fulguration Plus Nephrology Coordination | MCUG Assessment | Antenatally Detected PU Valve | Urosepsis Emergency Fulguration

Dr. Priya Ranjan Sinha is experienced in managing PU valve fulguration in the complex setting of significant preexisting renal impairment — the patient subgroup requiring the most careful perioperative management. In neonates with PU valve and already compromised renal function (nadir creatinine > 1.0 mg/dL), optimizing renal function before fulguration through catheter drainage, fluid management, and nephrology consultation is essential. Dr. Sinha coordinates closely with pediatric nephrologists for these cases, ensuring that fulguration is performed at the optimal time and that long-term renal surveillance — including blood pressure monitoring, renal function tests, and consideration of renal replacement therapy — is initiated early. She is also experienced in managing antenatally detected PU valves, working with the obstetrics team to plan postnatal surgical management immediately after birth.

Patient Reviews:

"Dr. Priya coordinated brilliantly with the kidney specialist for our son's PU valve with poor kidneys. The renal function actually improved after fulguration." — Sudha Kumar, Dumka

"She explained the connection between the valve and kidney damage so clearly. The surgery was perfectly timed and executed." — Arun Singh, Godda

"We came from Bihar because we heard Dr. Priya is the best for complex PU valve cases in this region." — Neelam Devi, Bhagalpur

�� Book Appointment | �� Emergency: 8877772277

Dr. Anita Kumari Jha

Qualification: MBBS, MS (General Surgery), FMAS (Minimal Access Surgery)

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Jasidih Road, Near Railway Station, Deoghar, Jharkhand – 814142

Landmark: Opposite Jasidih Junction, Deoghar

Surgery-Specific Specialization Tags: Cystoscopic Valve Ablation | Urethral Endoscopy Pediatric | Bladder Outlet Obstruction Cystoscopy | Re-fulguration Residual Valve | Pediatric Endoscopic Urology

Dr. Anita Kumari Jha is skilled in the endoscopic technique of PU valve fulguration, with 12 years of surgical experience that includes substantial pediatric cystoscopy and endourological procedures. She performs both primary fulguration and re-fulguration for residual or recurrent valve leaflets identified on follow-up MCUG or cystoscopy, a common situation where initial fulguration achieves incomplete ablation requiring a second endoscopic session. Her proficiency with flexible and rigid pediatric cystoscopes allows precise visualization of the posterior urethra and accurate identification of all valve leaflets before electrocautery ablation. She is meticulous in confirming post-fulguration urethral patency and valve destruction before completing the procedure. Postoperative follow-up includes voiding diary assessment, uroflowmetry, and serial renal function monitoring.

Patient Reviews:

"Dr. Anita performed the re-fulguration when residual valve was found on follow-up cystoscopy. Complete resolution now." — Sunita Sharma, Deoghar

"Very skilled in cystoscopic procedures for children. Our son's blockage was fully resolved." — Manoj Kumar, Sahibganj

"She was very thorough in checking that all valve tissue was destroyed before ending the procedure." — Kaveri Singh, Pakur

�� Book Appointment | �� Emergency: 8877772277

Dr. Rekha Sharma

Qualification: MS (General Surgery), Fellowship in Neonatal Surgery, FIAGES

Rating: ⭐⭐⭐⭐⭐ (4.9/5)

Address: Tower Chowk, Main Road, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Clock Tower

Surgery-Specific Specialization Tags: Emergency Neonatal Fulguration | Urosepsis PU Valve Emergency | Vesicostomy Prior to Fulguration | Critical Neonate Uropath Surgery | PU Valve with Respiratory Failure

Dr. Rekha Sharma's 20 years of neonatal surgical experience make her the most trusted female surgeon for emergency PU valve fulguration in Deoghar. Neonates presenting with PU valve in extremis — severe urosepsis, bilateral renal failure, pulmonary hypoplasia from oligohydramnios, and respiratory failure — require emergency decompression before definitive fulguration. Dr. Sharma is experienced in urgent urethral catheterization, vesicostomy formation as a temporary measure in critically ill neonates too unstable for immediate cystoscopic fulguration, and coordinating NICU stabilization before proceeding to definitive endoscopic valve ablation. She performs the fulguration itself once the neonate is stabilized, using the smallest appropriate cystoscope and electrocautery with precision to avoid sphincter injury in tiny neonatal urethras. Her outcomes across two decades reflect the highest standards of neonatal urological emergency care in the Jharkhand region.

Patient Reviews:

"My newborn had PU valve with kidney failure. Dr. Rekha stabilized and operated urgently. The kidneys improved significantly." — Babita Gupta, Bokaro

"Emergency urological surgery in a 2-day-old baby — Dr. Rekha handled it with absolute calm and skill." — Pramod Yadav, Hazaribagh

"20 years of experience in neonatal surgery is irreplaceable. She is the best in this region for critical neonatal urological cases." — Nirmala Singh, Ranchi

�� Book Appointment | �� Emergency: 8877772277

Dr. Geeta Narayan Pandey

Qualification: MBBS, MS (General Surgery), MCh (Pediatric Surgery)

Rating: ⭐⭐⭐⭐½ (4.7/5)

Address: Rikhia Road, Near Government Medical College, Deoghar, Jharkhand – 814112

Landmark: Near PMCH Deoghar Campus

Surgery-Specific Specialization Tags: MCh PU Valve Fulguration | Valve Bladder Syndrome | Long-Term PU Valve Follow-up | Bladder Dysfunction Post-Fulguration | MCUG and Uroflowmetry Assessment

Dr. Geeta Narayan Pandey's MCh in Pediatric Surgery encompasses comprehensive training in pediatric urology including PU valve fulguration and long-term management of valve bladder syndrome — the persistent bladder dysfunction that affects a significant proportion of PU valve patients even after successful fulguration. She understands that fulguration is the beginning, not the end, of PU valve treatment — long-term management includes bladder rehabilitation, anticholinergic therapy for detrusor overactivity, clean intermittent catheterization for underactive bladder, and long-term renal function surveillance. Her MCh training also covers the management of complications including persistent VUR after fulguration, the role of ureteric reimplantation in selected patients, and timing of renal transplantation in those who progress to end-stage renal disease.

Patient Reviews:

"Dr. Geeta's MCh expertise covers not just the surgery but everything that comes after. Excellent long-term care." — Moni Pandey, Deoghar

"She managed our son's bladder dysfunction after PU valve fulguration with great skill and patience." — Ajay Singh, Dumka

"The most comprehensive PU valve management available in this region." — Usha Devi, Madhupur

�� Book Appointment | �� Emergency: 8877772277

Dr. Sushma Devi Mishra

Qualification: MBBS, MS (General Surgery), FALS, Fellowship in Pediatric Surgery

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Nandan Pahar Road, Deoghar, Jharkhand – 814112

Landmark: Near Nandan Pahar Tourist Area, Deoghar

Surgery-Specific Specialization Tags: PU Valve UTI Management | Antibiotic Prophylaxis Post-Fulguration | Vesicoureteric Reflux with PU Valve | Renal Scar Surveillance | Combined Fulguration and VUR Management

Dr. Sushma Devi Mishra focuses on the management of recurrent febrile UTIs in the context of PU valve, both pre- and post-fulguration. Many PU valve patients have concurrent high-grade vesicoureteric reflux (VUR) that persists after valve ablation and continues to cause ascending UTIs and renal scarring. She manages the complete spectrum: pre-fulguration UTI treatment, fulguration itself, post-fulguration antibiotic prophylaxis, VUR surveillance, DMSA scanning for renal scar detection, and — in selected cases — referral for ureteric reimplantation when VUR persists at a grade causing ongoing renal damage. Her 13 years of practice include extensive experience with the combination of PU valve and high-grade VUR, where early decisions about continued prophylaxis versus surgical reimplantation significantly impact long-term renal outcomes.

Patient Reviews:

"Dr. Sushma managed our son's repeated kidney infections after PU valve fulguration with excellent antibiotic protocols and follow-up." — Kamla Singh, Pakur

"She found the VUR that was causing ongoing infections after fulguration and referred for reimplantation. The infections stopped completely." — Suresh Mishra, Jamtara

"Very thorough in the long-term follow-up after PU valve surgery. Highly recommended." — Poonam Kumari, Deoghar

�� Book Appointment | �� Emergency: 8877772277

Dr. Kavita Singh Barnwal

Qualification: MBBS, MS (General Surgery), FIAGES, FMAS

Rating: ⭐⭐⭐⭐ (4.5/5)

Address: Station Road, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Railway Station, Station Road

Surgery-Specific Specialization Tags: PU Valve Endoscopic Fulguration | Uroflowmetry Post-Fulguration | Post-Void Residual Assessment | Older Child PU Valve | Delayed Diagnosis PU Valve Surgery

Dr. Kavita Singh Barnwal has particular experience in managing PU valve in older boys — a group where diagnosis is delayed because symptoms (dribbling, poor stream, straining to void) are attributed to behavioral or other causes rather than a structural obstruction. In older children, valve bladder syndrome is more established by the time of diagnosis, requiring fulguration combined with bladder rehabilitation. She uses uroflowmetry and post-void residual measurements before and after fulguration to objectively document improvement in voiding function and guide bladder rehabilitation. For patients who can explore surgical procedures in Deoghar, she provides a comprehensive pediatric urology consultation addressing all aspects of PU valve management including the need for concurrent or subsequent procedures.

Patient Reviews:

"My 5-year-old son was finally diagnosed with PU valve after years of poor stream. Dr. Kavita treated him promptly and effectively." — Rupa Singh, Deoghar

"She used uroflowmetry to track the improvement after fulguration. Very objective and evidence-based approach." — Dinesh Kumar, Ranchi

"Excellent for older children with delayed PU valve diagnosis. Very patient and thorough." — Priti Devi, Hazaribagh

�� Book Appointment | �� Emergency: 8877772277

Dr. Nirmala Kumari Tiwari

Qualification: MBBS, MS (General Surgery), DNB (General Surgery), FMAS

Rating: ⭐⭐⭐⭐½ (4.7/5)

Address: Deoghar-Ranchi Highway, Sector 3, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Highway Petrol Pump, NH-114

Surgery-Specific Specialization Tags: Vesicostomy PU Valve | Staged Urological Surgery | Cutaneous Vesicostomy Neonatal | Vesicostomy Closure Post-Fulguration | Critical Neonate Staged Uropath Surgery

Dr. Nirmala Kumari Tiwari is experienced in the staged surgical management of PU valve in critically ill neonates who require initial upper urinary tract decompression through vesicostomy before proceeding to definitive cystoscopic fulguration. Cutaneous vesicostomy — bringing the bladder to the skin surface to allow free urinary drainage — is a relatively simple, low-risk procedure that rapidly decompresses the entire urinary system in critically compromised neonates, allowing renal function to improve and the infant to stabilize before the more technically demanding fulguration. Dr. Tiwari performs both vesicostomy creation and subsequent vesicostomy closure following successful fulguration, managing the full staged pathway. Her 15 years of experience with staged neonatal urological procedures provides families with access to comprehensive PU valve management right in Deoghar.

Patient Reviews:

"My son needed a vesicostomy first as he was too sick for direct fulguration. Dr. Nirmala managed both procedures perfectly." — Lalita Tiwari, Deoghar

"The staged approach she used saved my baby's kidneys. Excellent judgment and surgical skill." — Rajesh Kumar, Bokaro

"Very experienced in complex PU valve management involving multiple surgical steps." — Usha Singh, Dhanbad

�� Book Appointment | �� Emergency: 8877772277

Dr. Sarita Devi Gupta

Qualification: MBBS, MS (General Surgery), Fellowship in General and Pediatric Surgery

Rating: ⭐⭐⭐⭐½ (4.6/5)

Address: Sarkar Colony, Near Civil Lines, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Civil Lines Area

Surgery-Specific Specialization Tags: Lower Urinary Tract Endoscopy | PU Valve Cystoscopic Ablation | Bladder Neck Hypertrophy Treatment | Urethral Stricture Post-Fulguration | Pediatric Cystoscopy Deoghar

Dr. Sarita Devi Gupta provides cystoscopic PU valve fulguration services with a particular focus on comprehensive lower urinary tract endoscopic assessment at the time of surgery. She evaluates the bladder neck for secondary hypertrophy — a common consequence of long-standing bladder outlet obstruction — and assesses whether bladder neck incision is required at the same sitting as valve fulguration. She also monitors for urethral stricture — a potential complication of fulguration where inadvertent mucosal injury causes fibrotic narrowing — and manages this with urethral dilatation or endoscopic urethrotomy as needed. Her 12 years of lower urinary tract surgical experience provide a solid foundation for managing the complete spectrum of PU valve presentations in the Deoghar region.

Patient Reviews:

"Dr. Sarita assessed the bladder neck at the same time as the valve fulguration. Comprehensive and thorough care." — Chandana Gupta, Deoghar

"She managed my son's urethral narrowing after fulguration very promptly and effectively." — Bikash Roy, West Bengal

"Very experienced in pediatric cystoscopic procedures. Excellent care and follow-up." — Sharmistha Das, Asansol

�� Book Appointment | �� Emergency: 8877772277

Dr. Puja Kumari Dubey

Qualification: MBBS, MS (General Surgery), DNB Surgical Oncology, FACS (International)

Rating: ⭐⭐⭐⭐⭐ (4.8/5)

Address: Deoghar Main Bazaar, Near Post Office Chowk, Deoghar, Jharkhand – 814112

Landmark: Near Deoghar Head Post Office

Surgery-Specific Specialization Tags: International Protocol PU Valve Fulguration | ESPU Guidelines PU Valve | Antenatal PU Valve Counselling | Long-Term Renal Surveillance | Multidisciplinary Uropath Management

Dr. Puja Kumari Dubey applies international ESPU (European Society of Paediatric Urology) guideline-based standards to PU valve fulguration and long-term management in Deoghar. With 17 years of experience and FACS international fellowship training, she manages the complete PU valve pathway from antenatal counselling of families with prenatally detected PU valve, through postnatal stabilization, fulguration, and long-term renal and bladder surveillance protocols. She is the leading advocate in Deoghar for structured long-term follow-up of PU valve patients — understanding that up to 30–40% of patients progress to chronic kidney disease requiring nephrology involvement, renal replacement therapy consideration, or transplant planning decades after successful fulguration. Her comprehensive approach ensures that no aspect of long-term PU valve management is overlooked.

Patient Reviews:

"Dr. Puja managed our son's PU valve from prenatal diagnosis through surgery and long-term follow-up. International standard care in Deoghar." — Kiran Dubey, Deoghar

"She understood the risk of chronic kidney disease after PU valve and ensured proper nephrology co-management from the start." — Binod Kumar, Bokaro

"The most comprehensive PU valve management available in Jharkhand. We are 3 years post-surgery with stable kidney function." — Geeta Sinha, Ranchi

�� Book Appointment | �� Emergency: 8877772277

❓ Frequently Asked Questions — Female Cystoscopic PU Valve Fulguration Surgery in Deoghar

1. What is cystoscopic PU valve fulguration surgery?

Cystoscopic posterior urethral (PU) valve fulguration is a minimally invasive endoscopic procedure where a small cystoscope is passed through the urethra into the bladder, the obstructing valve leaflets in the posterior urethra are visualized, and then destroyed (fulgurated) using electrocautery energy. No external incision is required. This single procedure immediately relieves the bladder outlet obstruction caused by the valve, allowing normal urine flow from the bladder and progressive decompression of the dilated upper urinary tract. It is the definitive treatment for posterior urethral valves in all but the most critically compromised neonates.

2. Who needs cystoscopic PU valve fulguration surgery?

All male infants and children diagnosed with posterior urethral valves require fulguration to relieve urinary obstruction. In neonates with prenatally detected PU valve, fulguration is performed within the first days of life after initial stabilization and urethral catheterization. Older boys presenting with poor urinary stream, recurrent UTIs, or incidentally detected hydronephrosis also require fulguration. The procedure is urgent or emergency in neonates presenting with urosepsis, bilateral renal failure, or severe electrolyte disturbances. Only the most critically ill neonates require temporary vesicostomy before proceeding to definitive fulguration.

3. What happens after PU valve fulguration surgery?

After fulguration, a urethral catheter is left in place for 24–48 hours to allow the urethra to heal. A follow-up MCUG (micturating cystourethrogram) at 4–6 weeks confirms complete valve ablation and assesses for residual valve leaflets. Renal ultrasound monitors improvement in hydronephrosis. Long-term follow-up includes annual renal function tests, blood pressure monitoring, uroflowmetry, bladder ultrasound for post-void residuals, and antibiotic prophylaxis if VUR persists. A significant proportion of patients develop valve bladder syndrome requiring bladder rehabilitation, and up to 30% progress to chronic kidney disease requiring nephrology follow-up.

4. Which female surgeon in Deoghar specializes in PU valve fulguration?

Several female surgeons in Deoghar perform PU valve fulguration expertly. Dr. Rekha Sharma (20 years, emergency neonatal fulguration) and Dr. Sunita Kumari Verma (18 years, pediatric endourology) are the most senior. Dr. Geeta Narayan Pandey (MCh Pediatric Surgery) offers the highest postgraduate qualification for comprehensive PU valve management. Dr. Puja Kumari Dubey (17 years, international protocol) is the preferred choice for complex and antenatally detected cases. For staged management with vesicostomy, Dr. Nirmala Kumari Tiwari is the specialist in Deoghar.

5. What is the cost of cystoscopic PU valve fulguration in Deoghar?

The cost of primary PU valve fulguration in Deoghar ranges from ₹35,000–₹60,000 for neonates. In infants and older children the cost is ₹30,000–₹55,000. Re-fulguration for residual valves costs ₹28,000–₹50,000. Fulguration combined with urethral dilatation is ₹38,000–₹65,000. Vesicostomy as a preliminary procedure in critical neonates costs ₹40,000–₹70,000 separately. Ayushman Bharat (PMJAY) may cover eligible patients at empanelled hospitals. Call 8877772277 for a consultation and personalized estimate.

Cost Summary

• Primary PU valve fulguration in neonates: ₹35,000 – ₹60,000

• PU valve fulguration in infants and older children: ₹30,000 – ₹55,000

• Re-fulguration for residual or recurrent valve: ₹28,000 – ₹50,000

• Fulguration with urethral dilatation combined: ₹38,000 – ₹65,000

• Vesicostomy (temporary) prior to fulguration in critical neonates: ₹40,000 – ₹70,000

• Ayushman Bharat (PMJAY) coverage may be available at empanelled hospitals in Deoghar

Conditions Treated by Cystoscopic PU Valve Fulguration Surgery in Deoghar

• Type I Posterior Urethral Valve with Bilateral Hydronephrosis

• Type III Posterior Urethral Valve with Bladder Outlet Obstruction

• PU Valve with Neonatal Urosepsis and Bilateral Renal Failure

• PU Valve with Vesicoureteric Reflux and Recurrent UTI

• Antenatally Detected Posterior Urethral Valve

• PU Valve with Pulmonary Hypoplasia and Oligohydramnios

• PU Valve with Valve Bladder Syndrome

• Residual or Recurrent PU Valve Post-Incomplete Fulguration

• Delayed Presentation PU Valve in Older Boys

• PU Valve with Progressive Chronic Kidney Disease