Abstract
Ureterocele is a congenital cystic dilatation of the distal portion of the ureter. A was admitted to our hospital with complaints of pollakuria, right flank pain and macroscopic hematuria. Direct urinary system X-ray suggested a right lower ureteral calculi and intravenous pyelography (IVP) revealed a right side complete duplex system of ureterocele, multiple distal ureteral calculi and characteristic appereance of "cobra head" or ''spring onion''. A transurethral transversal incision was made in the right ureterocele at the inferior lateral border and 176 spherical calculi of almost the same size were removed. In conclusion, endoscopic ureterocele incision and stone extraction is a safe and effective treatment of adult orthotopic ureteroceles and this technique has minimal risk for iatrogenic vesicoureteral reflux.
References
- Tekgül S, Riedmiller H, Gerharz E, Hoebeke P, Kocvara R, Nijman JM, et al. Guidelines on pediatric urology. Pediatr Urol. 2011:339-52.
- Van den Hoek J, Montagne GJ, Newling DWW. Bilateral intravesical duplex system ureteroceles with multiple calculi in an adult patient. Scand J Urol Nephrol. 1995;29:223–4
- Schlussel RN, Retik AB. Ectopic ureter, ureterocele and other anomalies of the ureter. In: Wein AJ, Kavoussi LR, Novick AC, et al, eds. Campbell- Walsh urology. 9th ed. Philadelphia: Saunders; 2007:3383-422
- Nash AG, Knight M. Ureterocele calculi. BJU Int. 1973;45:404–7.
- Lieb J, Abrahams HM, Das AK. Endoscopic management of milk of calcium-filled ureterocele stump. J Endourol. 2003 Dec;17(10):917-8.
- Grases F, Söhnel O, Costa-Bauzá A, Pieras E, Muñoz D. Structural features of three ureterocele calculi. Int Urol Nephrol. 2007;39(3):765-9.
- Shah HN, Sodha H, Khandkar AA, Kharodawala S, Hegde SS, Bansal M. Endoscopic management of adult orthotopic ureterocele and associated calculi with holmium laser: experience with 16 patients over 4 years and review of literature. J Endourol. 2008 Mar;22(3):489-96.
Abstract
References
- Tekgül S, Riedmiller H, Gerharz E, Hoebeke P, Kocvara R, Nijman JM, et al. Guidelines on pediatric urology. Pediatr Urol. 2011:339-52.
- Van den Hoek J, Montagne GJ, Newling DWW. Bilateral intravesical duplex system ureteroceles with multiple calculi in an adult patient. Scand J Urol Nephrol. 1995;29:223–4
- Schlussel RN, Retik AB. Ectopic ureter, ureterocele and other anomalies of the ureter. In: Wein AJ, Kavoussi LR, Novick AC, et al, eds. Campbell- Walsh urology. 9th ed. Philadelphia: Saunders; 2007:3383-422
- Nash AG, Knight M. Ureterocele calculi. BJU Int. 1973;45:404–7.
- Lieb J, Abrahams HM, Das AK. Endoscopic management of milk of calcium-filled ureterocele stump. J Endourol. 2003 Dec;17(10):917-8.
- Grases F, Söhnel O, Costa-Bauzá A, Pieras E, Muñoz D. Structural features of three ureterocele calculi. Int Urol Nephrol. 2007;39(3):765-9.
- Shah HN, Sodha H, Khandkar AA, Kharodawala S, Hegde SS, Bansal M. Endoscopic management of adult orthotopic ureterocele and associated calculi with holmium laser: experience with 16 patients over 4 years and review of literature. J Endourol. 2008 Mar;22(3):489-96.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | July 4, 2015 |
| Submission Date | December 15, 2014 |
| Acceptance Date | January 9, 2015 |
| Published in Issue | Year 2015 Volume: 1 Issue: 2 |
