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Published on: October 12, 2017
Development of multiple calculi in the duplex system ureterocele
Akihiro Nakane1, Yutaro Hayashi, Yoshiyuki Kojima
1Department of Nephro-urology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan. aki-nakane@ams.odn.ne.jp
Summary
This study reports a case of a 61-year-old man with frequent urination due to kidney stones and ureterocele. Treatment involved a transurethral incision of ureterocele and lithotripsy, successfully removing the calculi.
Area of Science:
- Urology
- Nephrology
Background:
- Ureteroceles and renal calculi can cause significant lower urinary tract symptoms.
- Accurate diagnosis is crucial for effective management of complex urinary tract conditions.
Observation:
- A 61-year-old male presented with pollakisuria and nocturia.
- Radiographic imaging identified numerous calculi within the left renal pelvis and a ureterocele.
Findings:
- A combined approach of transurethral incision of ureterocele (TUI-ureterocele) and extracorporeal shock wave lithotripsy was performed.
- Multiple, uniformly sized, spherical calculi were noted during the TUI-ureterocele procedure.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case highlights the successful management of complex renal calculi associated with a ureterocele.
- Minimally invasive surgical techniques can be effective in treating challenging urological conditions.
- Further research may explore optimal strategies for managing similar presentations.
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