Posterior Urethral Valve: An Unusual Cause of Primary Male Infertility

Background: Posterior urethral valve presenting in adulthood is uncommon. This can be an unusual cause of primary male infertility as a result of abnor-malities in sexual function. Case Presentation: This report describes a 40 year old man who presented to us on account of inability to impregnate his wife after 2 years of marriage. His-tory reveal-ed poor stream of urine since childhood and passage of scanty ejac-ulate during intercourse. A micturating cystourethrogram revealed dilated poste-rior urethra in keeping with posterior urethral valves. Endoscopic valve ablation was done with subsequent improvement in ejaculate volume and urine stream. His spouse achieved pregnancy thereafter. Conclusion: In this report, it was found that adult posterior urethral valve though uncommon may be a cause of male infertility. Restoration of fertility potential can be achieved following valve ablation.