Bilateral single-system ureteroceles with multiple calculi in an adult woman.
A 38-year-old woman was seen with a complaint of pollakisuria and constant urinary urgency. Ultrasonography; plain radiography of her kidney, ureter, and bladder; and intravenous urography revealed bilateral ureteroceles with calculi. Bilateral transverse incision of the ureteroceles and lithotripsy were performed using a transurethral approach. At 8 months postoperatively, voiding cystography revealed the absence of vesicoureteral reflux. Although controversies remain about the effectiveness of endoscopic incision because of the risk of vesicoureteral reflux, endoscopic management with a transverse incision is well tolerated for such cases.
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan. kmizuno@med.nagoya-cu.ac.jp
Kentaro
K
Mizuno
Hideyuki
H
Kamisawa
Shuzo
S
Hamamoto
Takehiko
T
Okamura
Kenjiro
K
Kohri
D000328:Adult; D003558:Cystoscopy; D005260:Female; D006801:Humans; D011859:Radiography; D014518:Ureterocele / Q000000981:diagnostic imaging*; D001744:Urinary Bladder Calculi / Q000000981:diagnostic imaging*