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Concomitant Anterior and Posterior Urethral Valves in an 11-Year-Old Boy
Abstract
Concomitant anterior and posterior urethral valves are extremely rare causes of bladder outlet obstruction in children. An 11-year-old boy presented with acute dysuria and long-standing weak urinary stream. Imaging revealed a dilated posterior urethra with distal narrowing, and cystoscopy confirmed both posterior and anterior urethral valves. Holmium: YAG laser fulguration of both lesions resulted in marked improvement and a normal postoperative MCU. This case emphasizes the need for thorough radiologic and endoscopic evaluation in children with persistent voiding symptoms to identify rare dual obstructive anomalies.

