# Late Presentation of Posterior Urethral Valve in a Four-Year-Old Child With Subtle Voiding Symptoms: A Case Report

## TL;DR

A four-year-old boy with mild voiding symptoms was found to have a posterior urethral valve, highlighting the need for early evaluation of subtle urinary issues in children.

## Contribution

This case report highlights the late presentation of posterior urethral valve in a child with subtle symptoms and successful treatment with laser ablation.

## Key findings

- Type I posterior urethral valve was diagnosed incidentally in a four-year-old with mild voiding difficulty.
- Transurethral laser ablation successfully managed the condition.
- Early diagnosis and intervention are crucial to prevent renal complications in pediatric patients.

## Abstract

A four-year-old male child following an attack of acute pharyngitis was referred to the urology department as having mild voiding difficulty, where posterior urethral valve (PUV) was incidentally diagnosed. Urethrocystoscopy confirmed Type I PUV, which was successfully managed with transurethral laser ablation. This case underscores the importance of evaluating subtle pediatric urinary symptoms to prevent renal complications. Advances in imaging, surgical techniques, and monitoring strategies are critical for effective management. Early diagnosis and timely intervention remain essential to preserve renal and bladder function, emphasizing the need for vigilance in assessing pediatric urinary complaints.