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Published on: June 21, 2024
Bilateral single-system ureteroceles with multiple calculi in an adult woman
Kentaro Mizuno1, Hideyuki Kamisawa, Shuzo Hamamoto
1Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan. kmizuno@med.nagoya-cu.ac.jp
Abstract:
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.
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