A four-year-old male presented with mild voiding difficulty following pharyngitis and was referred to urology, where an incidental diagnosis of posterior urethral valve (PUV) was made. Urethrocystoscopy confirmed Type I PUV, which was successfully treated with transurethral laser ablation. This case highlights the importance of recognizing subtle pediatric urinary symptoms to prevent potential renal complications. Advances in imaging, surgical techniques, and monitoring strategies play a crucial role in optimizing management outcomes. Early diagnosis and timely intervention remain essential for preserving renal and bladder function, emphasizing the need for heightened clinical vigilance in evaluating pediatric urinary complaints.

Hany Elkordy, MD, is a urologist at Prime Healthcare Group, UAE, with expertise in urology, andrology, and infertility. With extensive clinical experience, he has previously worked in Egypt and Saudi Arabia, managing a wide range of urological conditions. Dr. Elkordy has a strong academic background and has contributed to the field through multiple publications in urology. His areas of interest include minimally invasive urological procedures, male reproductive health, and advancements in urinary tract disease management. Committed to patient-centered care and ongoing research, he actively participates in medical conferences and professional development to stay at the forefront of his field.