Posterior urethral valve with grade V vesico-ureteric reflux
Failure to thrive, abnormal stream of urination.
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Posterior urethral valve is a common cause of obstructive uropathy in infants. Severe cases are usually diagnosed with antenatal ultrasonography. Voiding cystourethrogram (VCUG) is the modality of choice for the diagnosis of posterior urethral valves postnatally, however ultrasound can also diagnose this entity.