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Introduction:
Ureterocele is a cystic dilatation of the lower part of the ureter. It is a congenital anomaly that is associated with other anomalies such as a duplicated system, and other diseases. It poses a great challenge owing to its numerous types and clinical presentations. Its incidence is 1 in every 4000 individuals. One of its presentatio...
Citations
... The prevalence of ureteroceles is four times greater in women, especially on the left side, and they are often associated with other abnormalities, such as stenotic ureteric orifices or duplex upper tracts [5] . Despite speculation that it is congenital in children and acquired in adults, the causes of this condition are still unknown [6] . ...
Introduction and importance
Ectopic ureteroceles are primarily found in children, often detected incidentally during antenatal ultrasonography or due to urinary tract infection (UTI) symptoms. However, they are rare in adults, with limited published cases.
Case presentation
This report details a case of a 24-year-old woman who experienced recurrent UTIs and sudden urinary retention, ultimately needing manual compression to urinate due to poor urine flow. Intravenous urography revealed a large right ectopic ureterocele that protruded through the urethra during urination. Cystoscopy confirmed extensive right-sided ureteroceles affecting the bladder and causing her urinary difficulties.
Clinical discussion
Although ectopic ureteroceles in adults can present with a range of symptoms, including obstruction and recurrent infections, the management approach is often individualized based on the clinical presentation and imaging findings. In this case, endoscopic incision was chosen for its minimally invasive nature, leading to full recovery without complications. Despite the risks of recurrence and potential scarring, the patient showed no recurrence at follow-up and remains symptom-free.
Conclusion
This case underscores the rarity of symptomatic giant ectopic ureteroceles in adult females and highlights the importance of considering this condition in women with recurrent UTIs.
... Duplex collecting system is detected during the perinatal period or in pediatric patients, but in some rare cases, they may not be identified until adulthood [3] . Ureteroceles are cystic dilation of the distal aspect of the ureter whose incidence is 1: 4000 people, occurring four times more often in women [4] . Ureteroceles, especially in adults, are generally asymptomatic and rarely diagnosed [5] . ...
... It is influenced by various factors such as age, presenting complaints, presence of any reflux, functional capacity of each renal segment in case it is associated with a duplex system and complications like UTI [13] . Ureterocele in case of adults may be detected incidentally and as such does not require treatment unless it is complicated [4] . It may co-exist with other conditions such as a ureteral calculus and in these conditions it can be managed endoscopically [4] . ...
... Ureterocele in case of adults may be detected incidentally and as such does not require treatment unless it is complicated [4] . It may co-exist with other conditions such as a ureteral calculus and in these conditions it can be managed endoscopically [4] . In case of simple duplex systems where there is absence of dilatation of either moiety, with no associated obstruction or when there is no reflux, no intervention is required [11] . ...
Introduction
Duplication of the renal collecting system, known as the duplex collecting system, is a common congenital anomaly of the urinary tract. It can be partial or complete and affects 0.7–4% of the population, with a higher incidence in females. Ureteroceles are cystic dilations of the distal ureter and are often asymptomatic, particularly in adults.
Case presentation
The authors present a case of a newly diagnosed partial duplex collecting system of the left kidney and left intravesical ureterocele, which was diagnosed for the first time at the age of 47 years, along with a history of symptoms suggestive of recurrent urinary tract infection and a urethral calculus which was surgically managed 5 years ago.
Clinical discussion
The presence of a duplex collecting system can be observed even in males, with the possibility of recurrent urinary tract infection and the rare occurrence of an intravesical ureterocele. While ureteroceles are typically considered a congenital condition, they can also be diagnosed in adults.
Conclusion
A partial duplex collecting system of the left kidney with left intravesical ureterocele in the age of 47 years in a male is a rare occurrence. Diagnosis and management of such urological cases can be challenging especially in a resource limited setting, which can be mitigated by awareness of unusual presentations, proper antenatal care, and access to proper diagnostic tools.
... Other than congenital type is an acquired type which is also a rare entity and mostly seen in adults. Acquired type is often associated with other conditions such as presence of an impacted stone, stone passage or history of previous surgeries [5,6]. ...
... Patients having ureterocele may have varied clinical picture. Their symptoms may be in form of attacks of urinary tract infection, urinary obstructive symptoms, burning micturition or even incontinence [6][7][8]. Sometimes there is absence of flank pain history or urinary tract infections and in that case it may be an indication of milder form of urinary tract obstruction. ...
... For diagnosis of ureterocele, radiologic imaging such as excretory urography and ultrasonography are used extensively [3,7]. Excretory urography helps in identification of the duplex system, ureteric obstruction and a cystic dilatation of ureterocele in the bladder [6][7][8]. ...
Ureterocele is a rare condition where in there is a cystic dilatation of terminal ureter accompanied with presence of tissue defect in the urinary bladder, bladder neck or may even be extending into the posterior urethra. Its incidence is approximately 1 in 4000 live births. A 20 year-old unmarried girl presented to clinic came with left flank pain, dysuria, urgency, frequency and nocturia which was severely disturbing her sleep and overall quality of life. She was diagnosed with ureterocele and subsequently managed with endoscopic laser ablation. In developing nations many children go on undiagnosed hence long-standing complications are frequently seen in such undiag-nosed cases. Hence, early diagnosis in children needs a high index of suspicion.
Ectopic ureterocele is a rare anomaly of the upper urinary tract, often accompanied by the growth of secondary stones caused by impaired urinary outflow. The article presents a clinical case, which shows the peculiarities of diagnosis and possibilities of surgery of this condition, including minimally invasive endoscopic interventions. Emphasis is placed on the consideration of different surgical approaches and their effectiveness in improving the quality of life of patients. Comparative analysis of different techniques shows that endoscopic correction, despite some limitations, remains the preferred option due to the low incidence of complications and rapid rehabilitation.
A ureterocele is a congenital abnormality in which there is abnormal dilatation of the distalmost portion of the ureter, as it enters the urinary bladder. Patients present with frequent urinary tract infections, urinary retention, cyclical abdominal pains, failure to thrive, and hematuria. Ureteroceles are often diagnosed on antenatal ultrasound and sometimes postnatally on ultrasounds done in the setting of a urinary tract infection.
This case describes a 51-year-old female who presented with recurrent urinary tract infections. Subsequent imaging with ultrasound, intravenous urogram, and computed tomography demonstrated features typical for bilateral ureteroceles.
Ureterocele is a rare congenital anomaly often believed to be caused due to incomplete dissolution of the Chwalla membrane. In this pathology, the distal end of the ureter is invaginated in the bladder and is dilated. We present a case of an 81-year-old male from rural India who came with complaints of hematuria and was diagnosed with ureterocele.
Introduction and importance:
Ureterocele is a congenital malformation of the ureter with dilatation in the distal part of the ureter. In most cases, this condition was present in childhood. In cases involving adults, this condition is associated with prolapse as well as the formation of stones. Prolapsed ureterocele with stone is considered to be a very rare case. We report a complex case of prolapsed ureterocele in a young female with a protruding mass in the vagina with complete pyeloureteral duplication and stone in the left ureterovesical junction.
Case presentation:
A 19-year-old female presented to the hospital with a complaint of protruding mass in the vagina. A Computed Tomography (CT) scan and Intravenous Urography (IVU) confirmed the presence of a left ureterocele with a complete duplex system and stone in the ureterovesical junction. An endoscopic resection of the ureterocele was performed. One year following surgery, the patient was asymptomatic without deterioration of renal function or urinary tract infection.
Discussion:
Prolapsed ureterocele in adulthood mimicking the clinical appearance of vulvar mass is considered a very rare case. The imaging examination in this case can be identified through CT-Scan. Surgical treatment of ureterocele consisted of incision, multiple punctures, unroofing, or resection. Considering the complex presentation in this case, we decided to undergo endoscopic resection to prevent the incidence of re-prolapsed which later required a second procedure.
Conclusion:
In cases of prolapsed ureterocele associated with urethral stones, endoscopic treatment is a viable option for reducing the risk of recurrent ureterocele prolapse.
Sepsis is a major cause of mortality as a life-threatening condition that arises when the body's response to an infection injures its own tissue, and in the past decade, emphasis has been placed on early treatment to decrease mortality. In this case, we discuss the presentation of a young patient with sepsis due to acute complicated pyelonephritis with an obstructing ureterocele diagnosed by point-of-care ultrasound and explore the use of point-of-care ultrasound in sepsis.
A 4‐year‐old, entire female Siberian husky was presented with a history of urinary incontinence from puppy and intermittent haematuria. A diagnosis of bilateral ectopic ureteroceles, calculus in the left ureterocele and bilateral pyelectasia was made by ultrasonography and CT excretory urography. The ureters were visualized communicating with opacified oblong structures, both located in the bladder neck, and the left one extended into the urethra. Resection of ureteroceles, neoureterostomy and calculus removal was performed. The dog made an uneventful recovery and was discharged from the hospital after 36 hours. A 2‐week course of antibiotic treatment was followed (marbofloxacin). Chemical analysis of the calculus revealed that it was composed of struvite. Treatment is mandatory at the time of diagnosis to prevent chronic kidney injury and urolithiasis secondary to obstructive uropathy. To the best of our knowledge, this is the first description of bilateral ectopic ureteroceles associated with calculus in a dog.
Introduction
Ureteroceles is a developmental anomaly with cystic dilation of the distal aspect of the ureter and are often associated with some urological anomaly such as a duplicated system or stenotic ureteric orifice.
Presentation of case
his study reports an ectopic ureterocele in duplication of collecting system associated with double ureters and ureteral ectopia in a woman aged 24 years with minor flank pain. Cystoscopy deroofing of the ureterocele performed and followed by secondary surgery laparoscopic heminephrectomy.
Discussion
Ureteroceles have various clinical manifestations and complications. Treatment for ureterocele depends on age, type of the ureterocele, obstruction to the draining system, and complications. No single method is sufficient for all cases, and management must be individualized. Endoscopic treatment has gradually broadened as a safe, minimally invasive, and effective procedure, but there is no consensus on its effectiveness for treating ectopic ureterocele. However, it is reported that 50-80% of cases after initial endoscopic treatment require secondary surgery.
Conclusions
ureterocele is reported rarely in adults, especially with duplication of the collection system in the nonorthotopic (extravesical) position in women. Cystoscopy deroofing of the ureterocele can be performed to decompress the hydroureteronephrosis, and laparoscopic heminephrectomy can be performed due to dysfunctional uppers moiety. Long-term follow-up is required to monitor renal function, symptoms, and occurrence of vesicoureteric reflux.
