• Saudi Med J · Sep 2020

    Case Reports

    Primary infertility secondary to a hidden posterior urethral valve representing a diagnostic challenge in the fifth decade.

    • Emad Rajih, Tareef Daqqaq, Abdulrahman Mojallid, and Said Kattan.
    • Male Genital Reconstruction/Sexual Medicine & Minimal invasive Urology, College of Medicine, Taibah University, Madinah, Kingdom of Saudi Arabia. E-mail. remad@taibahu.edu.sa.
    • Saudi Med J. 2020 Sep 1; 41 (9): 1011-1014.

    AbstractPosterior urethral valves (PUVs) are frequently recognized during the perinatal period. Delayed diagnosis is reported usually within the first decade of life with diverse clinical presentations. In the current case report, we describe a 45 years old man patient who presented with aspermia and primary infertility for 8 years in whom his diagnostic workup revealed radiological imaging suggestive of PUVs. This phenomenon was confirmed by cystourethroscopy that showed obstructive valve. Endoscopic ablation resulted in significant improvement of his seminal parameter with successful conception.

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