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

Authors

• Emad Rajih, From the Urology Department (Rajih); Radiology Department (Daqqaq), College of Medicine, Taibah University; from the Urology Department (Rajih), King Fahad General Hospitals, Madinah; and from the Urology Department (Kattan), King Faisal Specialist Hospital & Research Center, Riyadh, Kingdom of Saudi Arabia
• Tareef Daqqaq, From the Urology Department (Rajih); Radiology Department (Daqqaq), College of Medicine, Taibah University; from the Urology Department (Rajih), King Fahad General Hospitals, Madinah; and from the Urology Department (Kattan), King Faisal Specialist Hospital & Research Center, Riyadh, Kingdom of Saudi Arabia
• Abdulrahman Mojallid, From the Urology Department (Rajih); Radiology Department (Daqqaq), College of Medicine, Taibah University; from the Urology Department (Rajih), King Fahad General Hospitals, Madinah; and from the Urology Department (Kattan), King Faisal Specialist Hospital & Research Center, Riyadh, Kingdom of Saudi Arabia
• Said Kattan, From the Urology Department (Rajih); Radiology Department (Daqqaq), College of Medicine, Taibah University; from the Urology Department (Rajih), King Fahad General Hospitals, Madinah; and from the Urology Department (Kattan), King Faisal Specialist Hospital & Research Center, Riyadh, Kingdom of Saudi Arabia

Abstract

Posterior 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.

Article Type

Case Report

First Page

1011

Last Page

1014

Recommended Citation

Rajih, Emad; Daqqaq, Tareef; Mojallid, Abdulrahman; and Kattan, Said (2020) "Primary infertility secondary to a hidden posterior urethral valve representing a diagnostic challenge in the fifth decade," Saudi Medical Journal: Vol. 41: Iss. 9, Article 14.
DOI: https://doi.org/10.15537/smj.2020.9.25229