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Anatomy · Embryology: posterior urethral valves
Sample itemA male newborn has a palpable bladder, a poor urinary stream and bilateral hydronephrosis. Ultrasound shows a thick-walled bladder. The obstructing valves lie in which part of the urethra?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Prostatic urethra
Posterior urethral valves are mucosal folds in the prostatic part of the male urethra, usually just below the verumontanum. They obstruct urine flow and cause bladder hypertrophy, hydroureter and renal damage.
Option by option
A. Navicular fossa
The navicular fossa is the terminal dilatation in the glans penis.
B. Prostatic urethra (correct)
Correct. The valves lie in the posterior (prostatic) urethra.
C. Penile urethra
Valves in the penile urethra (anterior urethral valves) are much rarer.
D. Bladder neck
Bladder neck obstruction is a separate entity, and the valves lie below it.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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