# Service Puv.Html
**Source:** https://ru.drsujitchowdhary.com/service-puv.html
**Language:** Russian
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# Posterior Urethral Valves (PUV)
Дом / Услуги / PUV
### Understanding PUV
**Задние уретральные клапаны** (PUV) is a congenital condition in baby boys where abnormal membrane folds in the urethra block urine flow out of the bladder. The severe backup pressure damages the bladder wall, ureters, and developing kidneys.
### Causes of PUV
PUV is a developmental anomaly that occurs early in gestation:
- **Developmental Error:** Failure of the embryological folds (wolffian duct remnants) to regress, leaving valve-like leaflets in the prostatic urethra.
### Signs of PUV
Symptoms range from severe prenatal signs to postnatal voiding issues:
- **Bilateral Hydronephrosis:** Swelling of both kidneys and low amniotic fluid (oligohydramnios) on prenatal ultrasound.
- **Weak Urine Stream:** A slow, dribbling, or interrupted stream in a newborn male.
- **Distended Bladder:** A hard, palpable bladder mass in the lower abdomen.
- **Рецидивирующие ИМП:** Severe urinary tract infections accompanied by high fevers.
### Почему ранняя интервенция имеет значение
Posterior Urethral Valves (PUV) is a urological emergency in newborn boys. The severe blockage can cause rapid kidney and bladder deterioration. Immediate relief of the obstruction is vital to halt further damage and give the kidneys a chance to recover. Delayed treatment can lead to end-stage renal disease, requiring dialysis or a kidney transplant early in life.
### Комплексный подход к уходу
Treating PUV is a marathon, not a sprint. Even after the valves are successfully ablated, the child may have a "valve bladder" that functions poorly. Our comprehensive care includes regular urodynamic studies, kidney function tests, and continuous bladder management to protect the upper urinary tract and ensure the best long-term outcome for your child.
#### Другие услуги
- Неопущенное яичко.
- Хирургия гипоспадии
- Детская роботизированная хирургия
- Инфекция мочевыводящих путей
- Везикоуретральный рефлюкс
- Грыжа и гидроцеле
- Гидронефроз
- PUJO
- Фимоз
- Невропатический мочевой пузырь
- Нарушение мочеиспускания
- Двойная система почек
- PUV
- Детская эндоурология и камни
- Экстрофия мочевого пузыря и эписпадия
#### Нужна консультация?
Запишитесь на прием к доктору Суджиту Чоудхари сегодня.
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#### Передовая помощь
## Варианты лечения
### Endoscopic Valve Ablation
Primary treatment using a miniature cystoscope to cut the obstructive valves without external incisions.
### Vesicostomy
A temporary surgical opening in the bladder to allow urine to drain freely in very small or sick infants.
### Valve Bladder Management
Long-term care involving medications and catheterization to manage persistent bladder dysfunction.
#### Standard Protocol
## Хирургический процесс
#### 01. Emergency Stabilization
Upon diagnosis, a small catheter is placed to immediately drain the bladder and allow the kidneys to start recovering before surgery.
#### 02. Cystoscopic Repair
A daycare procedure where the valves are precisely removed using a neonatal cystoscope. No external incisions are made.
#### 03. Lifelong Monitoring
Regular checkups are essential to monitor kidney growth and bladder function as the child matures into adolescence.
#### Истории успеха
## Услышать от родителей
"Our son was diagnosed with PUV at birth. Dr. Sujit's expertise in endoscopic surgery saved his kidneys. We are so lucky to have found him."
##### Rahul Khanna
Отец 2-летнего пациента
"Expert guidance for a very scary condition. Dr. Chowdhary has been monitoring our son for 5 years now, and his health is perfect."
##### Aman S.
Отец
"Compassionate care and brilliant surgical skills. The valve ablation was successful, and the recovery was much easier than we feared."
##### Meera Joshi
Мать
"Finding a doctor who truly understands the complexity of PUV was a relief. Our son's health has improved drastically under his care."
##### Санжай В.
Отец
"Мы приехали из другого штата специально к доктору Чоудхари. Его репутация заслужена; его подход очень научный и методичный, но в то же время очень заботливый."
##### Каран Сингх
Родитель
Медсестры и доктор Суджит — фантастическая команда. Они провели операцию нашего младенца с такой заботой и теплотой. Настоятельно рекомендую всем родителям.
##### Прия Р.
Мать
#### The PUV Specialist
## Почему стоит выбрать доктора Суджита Чоудхари?
PUV is not just about a one-time surgery; it's about managing a "valve bladder" for years to protect the kidneys.
- Pioneer in neonatal endoscopic valve ablation.
- Specialized protocols for "high-pressure" bladder management.
- Integrated nephrology support for kidney protection.
- Use of the latest ultra-thin neonatal cystoscopes.
- Comprehensive parent education for home care and monitoring.
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#### Частые запросы
## Часто задаваемые вопросы
##### What are Posterior Urethral Valves (PUV)?
PUV is a congenital condition in boys where abnormal flaps of tissue in the urethra block urine flow from the bladder.
##### How is PUV diagnosed?
It is often suspected on antenatal ultrasound showing a dilated bladder, and confirmed after birth via a Micturating Cystourethrogram (MCUG).
##### What is the immediate treatment for PUV after birth?
The initial treatment is bladder drainage using a catheter, followed by endoscopic valve ablation (removal of the flaps).
##### What is endoscopic valve ablation?
It is a minimally invasive procedure where a small cystoscope is passed into the urethra to cauterize or cut the valve tissue.
##### Can PUV cause long-term kidney issues?
Yes, PUV boys require lifelong kidney monitoring as the backpressure can cause chronic kidney disease and bladder dysfunction.
##### What is a vesicostomy?
If a newborn is too small for endoscopic scopes, a temporary surgical opening (vesicostomy) is made to drain urine directly from the bladder.
##### Will my child have normal bladder control?
Many PUV boys experience delayed bladder control or 'valve bladder' syndrome, which is managed with medication and bladder training.
#### Связаться с нами
## Записаться на прием
Endoscopic valve ablation relieves bladder obstruction and protects renal health. Schedule a consultation today.
##### Адрес клиники
D6, Club, 2, напротив Vasant Vihar, Vasant Vihar, Нью-Дели, Дели 110057
##### Вызов скорой помощи
+91 98732 06761
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