Korean J Urol.  1995 Aug;36(8):881-885.

Clinical Observation of the Ureterocele: 29 Cases

Affiliations
  • 1Department of Urology, Kyung Hee University, College of Medicine, Seoul, Korea.

Abstract

Ureterocele, congenital dilatation of the terminal or intramural portion of the ureter, may be classified as either simple or ectopic and has a broad spectrum of presentation, anatomy and treatment must be individualized. From February, 1986 to March, 1994, our experiences with 8 single system ureteroceles and 12 duplex system ureteroceles were reviewed. Their presentation, radiographic findings, operative management and postoperative results were discussed. The patients in this series were distribution from 1 year old to 66 years old and the male and female ratio was 4:16. The most presenting symptom was flank pain, affecting 7 cases, and ureterocele was associated with ureteral stone: 7 cases, VUR: 2 cases, renal cyst: 1 case, and IgA nephropathy:1 case. In 8 cases of single system ureterocele, Transurethral incision(TUI) of ureterocele in 1 case, ureterocelectomy with ureteroneocystostomy in 3 cases were done. In 12 cases of duplex system ureterocele, TUI of ureterocele in 2 cases, heminephrectomy with partial ureterocelectomy in 2 cases were done. After operation was done, there was no evidence of complication. We conclude that the surgical approach to the problems associated with a ureterocele is modified by patient age, renal anomaly and the pathological condition of the lower urinary tract.

Keyword

Ureterocele; Single system; Duplex system; Transurethral incision; Heminephrectomy

MeSH Terms

Aged
Dilatation
Female
Flank Pain
Humans
Immunoglobulin A
Male
Ureter
Ureterocele*
Urinary Tract
Immunoglobulin A
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