{"id":"https://openalex.org/W4417536892","doi":"https://doi.org/10.1186/s12301-025-00549-z","title":"Posterior urethral valves: clinical presentation and management approaches in a tertiary hospital in Sudan \u2013 a retrospective study","display_name":"Posterior urethral valves: clinical presentation and management approaches in a tertiary hospital in Sudan \u2013 a retrospective study","publication_year":2025,"publication_date":"2025-12-21","ids":{"openalex":"https://openalex.org/W4417536892","doi":"https://doi.org/10.1186/s12301-025-00549-z"},"language":"en","primary_location":{"id":"doi:10.1186/s12301-025-00549-z","doi":"https://doi.org/10.1186/s12301-025-00549-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-025-00549-z","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-025-00549-z.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"African Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://link.springer.com/content/pdf/10.1186/s12301-025-00549-z.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123538574","display_name":"Abdelrahman S. Elnour","orcid":"https://orcid.org/0009-0004-3620-0036","observed_orcids":["https://orcid.org/0009-0004-3620-0036"]},"institutions":[{"id":"https://openalex.org/I37322517","display_name":"Omdurman Islamic University","ror":"https://ror.org/025qja684","country_code":"SD","type":"education","lineage":["https://openalex.org/I37322517"]}],"countries":["SD"],"is_corresponding":true,"raw_author_name":"Abdelrahman S. Elnour","raw_affiliation_strings":["Department of Surgery, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan","institution_ids":["https://openalex.org/I37322517"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Awad R. Abdalla","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150406212","display_name":"University of Khartoum","ror":"https://ror.org/02jbayz55","country_code":"SD","type":"education","lineage":["https://openalex.org/I150406212"]}],"countries":["SD"],"is_corresponding":false,"raw_author_name":"Awad R. Abdalla","raw_affiliation_strings":["Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan","institution_ids":["https://openalex.org/I150406212"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Aziza M. Elnaeema","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aziza M. Elnaeema","raw_affiliation_strings":["Department of pediatric surgery, Soba Teaching Hospital, Khartoum, Sudan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of pediatric surgery, Soba Teaching Hospital, Khartoum, Sudan","institution_ids":[]}]},{"author_position":"last","author":{"id":null,"display_name":"Faisal Nugud","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78157869","display_name":"University of Gezira","ror":"https://ror.org/001mf9v16","country_code":"SD","type":"education","lineage":["https://openalex.org/I78157869"]}],"countries":["SD"],"is_corresponding":false,"raw_author_name":"Faisal Nugud","raw_affiliation_strings":["Department of Surgery, Faculty of Medicine, University of Gezira, Wad Madani, Sudan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Faculty of Medicine, University of Gezira, Wad Madani, Sudan","institution_ids":["https://openalex.org/I78157869"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5123538574"],"corresponding_institution_ids":["https://openalex.org/I37322517"],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":2.7345,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.9127404,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"31","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.9452999830245972,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.9452999830245972,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.04569999873638153,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.004100000020116568,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/posterior-urethral-valves","display_name":"posterior urethral valves","score":0.9980000257492065},{"id":"https://openalex.org/keywords/lower-urinary-tract-obstruction","display_name":"lower urinary tract obstruction","score":0.8040000200271606},{"id":"https://openalex.org/keywords/bladder-outlet-obstruction","display_name":"bladder outlet obstruction","score":0.8579999804496765},{"id":"https://openalex.org/keywords/pediatric-urology","display_name":"pediatric urology","score":0.7760000228881836},{"id":"https://openalex.org/keywords/vesicostomy","display_name":"vesicostomy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/vesicoureteral-reflux","display_name":"vesicoureteral reflux","score":0.9700000286102295},{"id":"https://openalex.org/keywords/renal-dysfunction","display_name":"renal dysfunction","score":0.5289999842643738},{"id":"https://openalex.org/keywords/escherichia-coli-urinary-tract-infection","display_name":"Escherichia coli urinary tract infection","score":0.824999988079071},{"id":"https://openalex.org/keywords/prenatal-diagnosis","display_name":"prenatal diagnosis","score":0.875},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.7630000114440918},{"id":"https://openalex.org/keywords/sudan","display_name":"Sudan","score":0.9179999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.963100016117096},{"id":"https://openalex.org/C2777907074","wikidata":"https://www.wikidata.org/wiki/Q641152","display_name":"Voiding cystourethrogram","level":5,"score":0.8222000002861023},{"id":"https://openalex.org/C2777609623","wikidata":"https://www.wikidata.org/wiki/Q1550521","display_name":"Vesicoureteral reflux","level":4,"score":0.6868000030517578},{"id":"https://openalex.org/C2776729220","wikidata":"https://www.wikidata.org/wiki/Q2500550","display_name":"Posterior urethral valve","level":3,"score":0.6227999925613403},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5663999915122986},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.4805000126361847},{"id":"https://openalex.org/C2778248742","wikidata":"https://www.wikidata.org/wiki/Q16957524","display_name":"Urinary tract obstruction","level":3,"score":0.4781999886035919},{"id":"https://openalex.org/C2780334110","wikidata":"https://www.wikidata.org/wiki/Q1741922","display_name":"Pediatric urology","level":2,"score":0.46209999918937683},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.4505000114440918},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4284000098705292},{"id":"https://openalex.org/C2777085111","wikidata":"https://www.wikidata.org/wiki/Q9386","display_name":"Urethra","level":2,"score":0.3903000056743622},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3573000133037567},{"id":"https://openalex.org/C2780070792","wikidata":"https://www.wikidata.org/wiki/Q4923668","display_name":"Bladder outlet obstruction","level":4,"score":0.34549999237060547},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.3337000012397766},{"id":"https://openalex.org/C2778769751","wikidata":"https://www.wikidata.org/wiki/Q246090","display_name":"Cystoscopy","level":3,"score":0.3221000134944916},{"id":"https://openalex.org/C2778655861","wikidata":"https://www.wikidata.org/wiki/Q1585753","display_name":"Urethral stricture","level":3,"score":0.2957000136375427},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.29159998893737793},{"id":"https://openalex.org/C2779478474","wikidata":"https://www.wikidata.org/wiki/Q446372","display_name":"Lower urinary tract symptoms","level":4,"score":0.2874000072479248},{"id":"https://openalex.org/C2777106319","wikidata":"https://www.wikidata.org/wiki/Q362104","display_name":"Institutional review board","level":2,"score":0.2825999855995178},{"id":"https://openalex.org/C2780306776","wikidata":"https://www.wikidata.org/wiki/Q426660","display_name":"Creatinine","level":2,"score":0.2809999883174896},{"id":"https://openalex.org/C2780423258","wikidata":"https://www.wikidata.org/wiki/Q1430816","display_name":"Pediatric surgery","level":2,"score":0.27709999680519104},{"id":"https://openalex.org/C2777907090","wikidata":"https://www.wikidata.org/wiki/Q246052","display_name":"Cystography","level":3,"score":0.26739999651908875},{"id":"https://openalex.org/C2777284795","wikidata":"https://www.wikidata.org/wiki/Q7900621","display_name":"Urinary diversion","level":5,"score":0.2621000111103058},{"id":"https://openalex.org/C2778124894","wikidata":"https://www.wikidata.org/wiki/Q2336398","display_name":"Pallor","level":2,"score":0.2590000033378601},{"id":"https://openalex.org/C54847362","wikidata":"https://www.wikidata.org/wiki/Q177635","display_name":"Nephrology","level":2,"score":0.2574000060558319},{"id":"https://openalex.org/C2778802166","wikidata":"https://www.wikidata.org/wiki/Q28401927","display_name":"Cystourethrography","level":5,"score":0.25440001487731934},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.2526000142097473}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1186/s12301-025-00549-z","doi":"https://doi.org/10.1186/s12301-025-00549-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-025-00549-z","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-025-00549-z.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"African Journal of Urology","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:756e8a704b864728bee86b517de72746","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/756e8a704b864728bee86b517de72746","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"African Journal of Urology, Vol 31, Iss 1, Pp 1-7 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12301-025-00549-z","doi":"https://doi.org/10.1186/s12301-025-00549-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-025-00549-z","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-025-00549-z.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"African Journal of Urology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4417536892.pdf","grobid_xml":"https://content.openalex.org/works/W4417536892.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W1895398235","https://openalex.org/W2025932021","https://openalex.org/W2057256320","https://openalex.org/W2093113952","https://openalex.org/W2117951498","https://openalex.org/W2137582127","https://openalex.org/W2414089145","https://openalex.org/W2806039031","https://openalex.org/W2883377841","https://openalex.org/W2891300279","https://openalex.org/W2899564701","https://openalex.org/W2990119369","https://openalex.org/W3007696241","https://openalex.org/W3038333909","https://openalex.org/W3201757091","https://openalex.org/W4214512321","https://openalex.org/W4293555955","https://openalex.org/W4313597730","https://openalex.org/W4386512611","https://openalex.org/W4406569910"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Posterior":[2],"urethral":[3],"valves":[4],"(PUV)":[5,79],"are":[6],"the":[7,99,177,191],"leading":[8],"cause":[9],"of":[10,38,74,89,113,124,155,172,199],"lower":[11],"urinary":[12,133],"tract":[13],"obstruction":[14,23],"in":[15,20,44,98,120,152,161,169,184,196,234],"male":[16],"infants,":[17],"often":[18],"resulting":[19],"bladder":[21,255],"outlet":[22],"and":[24,35,80,140,157,217,226,240,254],"potential":[25],"renal":[26,253],"damage.":[27],"This":[28],"study":[29,51],"examines":[30],"presentation":[31],"patterns,":[32],"diagnostic":[33],"findings,":[34],"management":[36],"strategies":[37],"PUV":[39,95],"at":[40,54],"a":[41,59,110,148],"tertiary":[42],"hospital":[43],"Sudan.":[45],"Methods":[46],"A":[47,87],"retrospective,":[48],"descriptive":[49],"cross-sectional":[50],"was":[52,118,167,176,190,210],"conducted":[53],"Soba":[55],"University":[56],"Hospital":[57],"over":[58],"five-year":[60],"period,":[61],"from":[62,71,104],"January":[63],"2018":[64],"to":[65,106,215,228,257],"December":[66],"2022.":[67],"Data":[68],"were":[69,96,131],"collected":[70],"medical":[72],"records":[73],"pediatric":[75,91,229],"patients":[76,92,156],"with":[77,93,109],"confirmed":[78,94],"analyzed":[81],"using":[82],"SPSS":[83],"version":[84],"20.":[85],"Results":[86],"total":[88],"53":[90],"included":[97],"study.":[100],"Patient":[101],"ages":[102],"ranged":[103],"birth":[105],"11":[107,202],"years,":[108],"median":[111],"age":[112],"7.2":[114],"months.":[115],"Prenatal":[116],"diagnosis":[117],"made":[119],"only":[121],"6":[122],"(11.3%)":[123],"cases.":[125,173],"The":[126,206],"most":[127,178],"common":[128],"presenting":[129],"symptoms":[130],"poor":[132],"stream":[134],"42":[135,170],"(79.2%),":[136],"fever":[137],"33":[138],"(62.3%),":[139],"pallor":[141],"15":[142],"(28.3%).":[143],"Micturating":[144],"cystourethrogram":[145],"(MCUG)":[146],"revealed":[147],"dilated":[149],"posterior":[150],"urethra":[151],"50":[153],"(94.3%)":[154],"vesicoureteral":[158],"reflux":[159],"(VUR)":[160],"35":[162],"(66.0%).":[163],"Elevated":[164],"serum":[165],"creatinine":[166],"observed":[168],"(79.2%)":[171],"Escherichia":[174],"coli":[175],"frequently":[179],"isolated":[180],"organism":[181],"21":[182],"(53.8%)":[183],"urine":[185],"cultures.":[186],"Endoscopic":[187],"valve":[188],"ablation":[189],"primary":[192],"surgical":[193,242],"intervention,":[194],"performed":[195],"37":[197],"(77.1%)":[198],"cases,":[200],"while":[201],"(22.9%)":[203],"underwent":[204],"vesicostomy.":[205],"overall":[207],"mortality":[208],"rate":[209],"3":[211],"(5.7%),":[212],"mainly":[213],"attributed":[214],"sepsis":[216],"pulmonary":[218],"hypoplasia.":[219],"Conclusion":[220],"Improving":[221],"early":[222],"diagnosis,":[223],"timely":[224],"referral,":[225],"access":[227],"urology":[230],"services":[231],"is":[232],"critical":[233],"resource-limited":[235],"settings.":[236],"Strengthening":[237],"prenatal":[238],"screening":[239],"addressing":[241],"capacity":[243],"gaps":[244],"can":[245],"enhance":[246],"outcomes.":[247],"Further":[248],"studies":[249],"should":[250],"assess":[251],"long-term":[252],"function":[256],"inform":[258],"future":[259],"care.":[260]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-17T09:40:24.721904","created_date":"2025-12-21T00:00:00"}