title: Prolapsed single system ureterocele in a female adult: case report.
abstract: A 36 year old female teacher, presented with a bleeding mass in the introitus, difficult micturition, and dysuria of four months duration. She was a para 3+0, all spontaneous vertex deliveries, her last delivery was in 2001. She was first seen at a private mission hospital in March 2006 where an attempt to excise the mass was made but was abandoned due to bleeding. She was later discharged and re-admitted to a second mission hospital. On examination the mass was firm, round in shape about 2.5 cm in diameter, dark red in colour with a catgut stitch and areas of necrosis. The patient was investigated and a diagnosis of a prolapsing ureterocele was made and a transvesical excision was undertaken. A repeat IVP done six months later revealed no hydronephrosis and urea and electrolyte (U/E) were normal. This case is reported to highlight one of the differential diagnoses that should be considered when evaluating masses at the introitus in a female patient. The presentation, diagnosis, and management protocols are discussed. Thus far no local case reports have been established.
authors.affiliation: Thika District Hospital, P.O. Box 6117-01000, Thika, Kenya.
authors.forename: C G
authors.initials: CG
authors.lastname: Waihenya
mesh_terms: D000328:Adult; D005260:Female; D052776:Female Urogenital Diseases / Q000473:pathology; D006801:Humans; D007813:Laparotomy; D014513:Ureter / Q000473:pathology*; D014518:Ureterocele / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery