RT Journal Article SR Electronic T1 Primary infertility secondary to a hidden posterior urethral valve representing a diagnostic challenge in the fifth decade JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1011 OP 1014 DO 10.15537/smj.2020.9.25229 VO 41 IS 9 A1 Rajih, Emad A1 Daqqaq, Tareef A1 Mojallid, Abdulrahman A1 Kattan, Said YR 2020 UL http://smj.org.sa/content/41/9/1011.abstract 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.