PT  - JOURNAL ARTICLE
AU  - Rajih, Emad
AU  - Daqqaq, Tareef
AU  - Mojallid, Abdulrahman
AU  - Kattan, Said
TI  - Primary infertility secondary to a hidden posterior urethral valve representing a diagnostic challenge in the fifth decade
AID  - 10.15537/smj.2020.9.25229
DP  - 2020 Sep 01
TA  - Saudi Medical Journal
PG  - 1011--1014
VI  - 41
IP  - 9
4099  - http://smj.org.sa/content/41/9/1011.short
4100  - http://smj.org.sa/content/41/9/1011.full
SO  - Saudi Med J2020 Sep 01; 41
AB  - Posterior urethral valves (PUVs) are frequently recognized during the perinatal period. Delayed diagnosis is reported usually within the first decade of life with diverse clinical presentations. In the current case report, we describe a 45 years old man patient who presented with aspermia and primary infertility for 8 years in whom his diagnostic workup revealed radiological imaging suggestive of PUVs. This phenomenon was confirmed by cystourethroscopy that showed obstructive valve. Endoscopic ablation resulted in significant improvement of his seminal parameter with successful conception.