Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.

Department of Urology, Anjo Kosei Hospital, Anjo-city, Aichi, Japan.

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.

Written by
Mizuno K, Kamisawa H, Hamamoto S, Okamura T, Kohri K.

Reference
Urology. 2008 Jun 2. Epub ahead of print.
doi:10.1016/j.urology.2008.03.058

PubMed Abstract
PMID:18533235

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