Introduction: Posterior urethral valve (PUV) is a rare congenital obstruction typically found in male patients. This case adds to the scientific literature by highlighting the spectrum of pathologies associated with PUV. The patient presented with symptoms consistent with PUV, including urinary retention and potentially signs of kidney dysfunction. Clinical examination and diagnostic tests likely revealed the presence of PUV and associated complications such as renal impairment. The primary diagnosis was posterior urethral valve confirmed through clinical Voiding cystourethrogram. The endoscopic approach allows identification and resection of the valves under direct vision, associated with bladder neck incision, by the resectoscope with electrode knife, hook, cold blade, or inflated balloon catheter. The outcomes would include relief of urinary symptoms and improvement in renal function post-intervention. Conclusion: This case underscores the importance of prompt diagnosis and management of PUV to prevent significant morbidity. It emphasizes the need for clinicians to consider PUV in male patients presenting . Early intervention can lead to better outcomes and improved quality of life for affected individuals.
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