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Peer-reviewedCC BY 4.0Urology Case Reports

Late-presenting posterior urethral valve with secondary polypoid urethritis in an adult male presenting with recurrent urinary retention: A case report

4 affiliations
  1. 1Division of Clinical Medicine, Faculty of Medicine and Nutrition, IPB University, Bogor, West Java, Indonesia
  2. 2Department of Surgery, Sub Urology, St. Carolus Hospital, Jakarta, Indonesia
  3. 3Faculty of Medicine and Health Sciences at Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia
  4. 4Department of Anatomical Pathology at Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia

Abstract

Posterior urethral valve (PUV) is a rare congenital cause of bladder outlet obstruction that is infrequently diagnosed in adults. We report a rare case of late-presenting posterior urethral valve with secondary polypoid urethritis in a 32-year-old man presenting with recurrent urinary retention. Ultrasonography was inconclusive, whereas cystoscopy identified an obstructing posterior urethral valve, which was treated by transurethral endoscopic resection. Histopathology demonstrated secondary reactive polypoid urethritis without malignancy. The patient remained symptom-free at one-month follow-up. Adult PUV should be considered in recurrent urinary retention with inconclusive investigations, and early cystoscopy may prevent delayed diagnosis and treatment.

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BibTeX
@article{prihadi2026latepresenting,
  title = {{Late-presenting posterior urethral valve with secondary polypoid urethritis in an adult male presenting with recurrent urinary retention: A case report}},
  author = {Johannes Cansius Prihadi and Darren Wijaya and Alvin Chandra and Dyonesia Ary},
  journal = {Urology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103648},
  url = {https://doi.org/10.1016/j.eucr.2026.103648},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Late-presenting posterior urethral valve with secondary polypoid urethritis in an adult male presenting with recurrent urinary retention: A case report
AU  - Johannes Cansius Prihadi
AU  - Darren Wijaya
AU  - Alvin Chandra
AU  - Dyonesia Ary
PY  - 2026
DA  - 2026/10/26
JO  - Urology Case Reports
DO  - 10.1016/j.eucr.2026.103648
UR  - https://doi.org/10.1016/j.eucr.2026.103648
AB  - Posterior urethral valve (PUV) is a rare congenital cause of bladder outlet obstruction that is infrequently diagnosed in adults. We report a rare case of late-presenting posterior urethral valve with secondary polypoid urethritis in a 32-year-old man presenting with recurrent urinary retention. Ultrasonography was inconclusive, whereas cystoscopy identified an obstructing posterior urethral valve, which was treated by transurethral endoscopic resection. Histopathology demonstrated secondary reactive polypoid urethritis without malignancy. The patient remained symptom-free at one-month follow-up. Adult PUV should be considered in recurrent urinary retention with inconclusive investigations, and early cystoscopy may prevent delayed diagnosis and treatment.
SN  - 2214-4420
ER  -