PURPOSE We report the evolution of endoscopic treatment of ectopic ureteroceles from the unroofing technique to a novel approach using concomitant ureterocele double puncture and intraureterocele fulguration. We also compare the results of different endoscopic modalities at a single center. MATERIALS AND METHODS We reviewed the records of 46 children with ectopic ureteroceles who were treated...

To cite: Prakash J, Goel A, Kumar M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200168 DESCRIPTION A 42-year-old man presented with a 2-day history of severe colicky pain in the left flank with vomiting. X-ray (figure 1A) and ultrasonography showed a 13 mm left vesicoureteric junction calculus (figure 1B) with moderate hydroureteronephrosis and sma...

Introduction Transurethral incision (TUI) is a popular method of treatment used in children with ureteroceles. The procedure can be difficult because of dimensions, localization and thickness of a ureterocele as well as its relation to other ureteral orifices. The aim of the present study was to evaluate the usefulness of ultrasound guidance for incision of a ureterocele and decompression of th...

OBJECTIVE The aim of the study was to evaluate clinical characteristics of ureteroceles particularly for diagnostic and treatment challenges. METHODS Data about patients treated for ureterocele in the two hospital clinics during 1996- 2009 are retrospectively evaluated. FINDINGS There were 12 girls and 7 boys. Symptomatic urinary tract infection was found in twelve cases. Ureterocele was as...

Ureterocele is a congenital anomaly, in which there is mal-development of the caudal segments of the ureter. There is a female preponderance with most cases seen in Caucasians. Among the reported complications of this condition, chronic renal failure occurring in the setting of ureterocele has not been well documented. We report a case of a young girl with bilateral ureterocele presenting with ...

A 6-month-old hyponatremic female with failure to thrive had low urinary sodium concentration. Renal sonography revealed a duplex left collecting system with obstruction of the upper moiety as a blind-ended ectopic ureterocele extending to the bladder base. The echogenicity of the urine within the upper pole system was greater than the bladder contents. We believed that low urinary sodium conce...

INTRODUCTION Ureteroceles are cystic dilatations of the distal ureter that occur due to congenital ureteric wall weakness. They can be orthotopic, occurring in normal ureteric locations and most commonly seen in adults. On the other hand, heterotopic ureteroceles are located in ectopic ureters or in ectopic duplex renal systems, and are more common in children. Ureterocele causing obstruction i...

We report a case of a 38-year-old man with a simple orthotopic bilateral ureterocele and pain on urination that was improved by transurethral incision. His symptoms were present for 3 years since he first visited our hospital in 2012. Cystoscopy at our hospital revealed a simple bilateral ureterocele, and he was given an alpha blocker plus anticholinergic agent. The medication did not relieve h...

We describe a case of a partial unilateral duplex system and ureterocele containing a 4 cm stone in a 66-year-old woman who presented with renal colic. Cystoscopic stone removal and deroofing of the ureterocele were performed and a ureteral stent was placed for a total of 6 weeks. Our case is unique as it highlighted the diagnostic pitfalls of ureteroceles, especially when obscured by a large c...

Ureteroceles may present both diagnostic and treatment challenges, particularly among paediatric urologists. The diagnosis of ureterocele may be obvious, but at times it is less clear and is then only diagnosed with a high index of suspicion. The management of ureterocele varies according to its effects on obstruction, reflux, continence and renal function. Therefore, it is imperative for the u...