Late diagnosis of XXXX .

@entity1 @entity8 @entity2650 @entity66 @entity850 @entity409 @entity3025 @entity340 @entity11044
CLINICAL PROBLEM: We diagnosed 8 @entity1 with late-stage @entity340 ( @entity340 ) between 1 and 14 years of age. Five @entity1 complained of symptoms related to @entity409 . The other 3 @entity1 required urethrocystoscopy for other reasons ( @entity2650 fistulae, difficulty with catheterisation and high-grade @entity3025 [ @entity3025 ]). A second review of the first 2 @entity1 ' medical history showed @entity66 . All @entity1 underwent preoperative ultrasonography: 3 @entity1 had normal results and 5 had @entity8 . The diagnosis was reached through voiding cystourethrogram (VCUG), and 4 @entity1 underwent urodynamic studies. The diagnosis was confirmed by urethrocystoscopy, performing valve electrofulguration. We performed urethrocystoscopy during the check-ups at 3-6 weeks and observed no @entity850 . The symptoms disappeared for all @entity1 after 20 months of follow-up. The @entity1 with @entity3025 was cured. The ultrasounds showed no progression of the renal involvement and showed improvement in the vesical involvement. The velocimetries during check-ups presented curves within normal ranges. DISCUSSION: Most @entity1 with @entity340 are diagnosed through ultrasound during the neonatal period. Some @entity1 present @entity340 at later ages with diverse symptoms, which impedes its diagnosis. We should suspect @entity340 in male @entity1 with symptoms of @entity409 , either when they have normal or pathological results from ultrasounds or VCUG. We recommend performing urethrocystoscopy to rule out @entity11044 .
