Unusual Presentation of Type 3 Posterior Urethral Valve: A Case Report

Type 3 posterior urethral valves (PUV) are rare in pediatric urology departments and appear as a diaphragm with a central pinpoint opening in the urethra.A 14-year-old male patient presented with post-void hematuria and dribbling during micturition.Ultrasonography revealed no hydroureteronephrosis; however, the bladder wall appeared thickened and trabeculated.In the posterior urethra, an annular ring with a central opening permitting only guidewire passage was observed, characteristic of type 3 PUV.Ablation of the lesion was performed using a holmium: yttrium-aluminum-garnet laser.14-french urinary catheter was placed, and the patient was discharged the next day without complaint.Even when there is urinary impairment, individuals may dismiss it as normal.This problem should be properly examined and investigated, particularly from the perspective of PUV type 3.