Upon the birth Said was diagnosed with a defect in the posterior urethral valve. The urinary tract congenital abnormality caused the beginning of the destruction of his renal parenchyma. In year 1999 an attempt was made to help the child, and in order to make the ureters broader, they were brought out on both sides. Additionally, the folds of the posterior urethra were dissected. Normal urination was restored temporarily. But still azotemia raise and a renal function steady decline were detected. In order to prevent infection, doctors blocked the ureterocutaneostomy on both sides in 2001. Nevertheless the urine accumulation inside the bladder was increasing, so in order to reduce the pressure inside the bladder and weaken it, the A type botulinum toxin was injected in 2008. It made help for some time.