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Abstract The aim of our study: is to evaluate and compare the outcome of posterior urethral valve fulgeration versus vesicostomy in patients during first six months of life with serum creatinine above 0.5mg/dl in terms of renal functions and upper urinary tracts dilatation. Conclusions: Management of PUV can either be done by vesicostomy or 1ry valve fulgeration even in young infants during first six months of life with creatinine level above 0.5mg/dl.In young infants with high serum creatinine level and severely affected upper urinary tracts with either hydronephrosis or reflux with or without urinary tract infections; vesicostomy should be considered as the treatment of choice |