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Updated: May 8, 2026

Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
Hydroureteronephrosis secondary to juxta-uretrovesical junction bladder diverticula
Fabio Cesar Miranda Torricelli1, Shih-Chieh Jeff Chueh, Shu-Jane Shen
1Glickman Urological and Kidney Institute, The Cleveland Clinic, Cleveland, OH, USA.
Abstract:
Bladder diverticulum is rarely associated to hydroureteronephrosis. We present clinical images of an adult patient with a bladder diverticulum near the ureterovesical junction (UVJ) with secondary obstruction. An 84-year-old man presented with left hydroureteronephrosis and a presumed 25-mm left ureteral stone at UVJ on computed tomography. Cystoscopy revealed a stone located in a bladder diverticulum just cephalad and medial to left ureteral orifice; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his hydronephrosis. Juxta-UVJ bladder diverticula may cause obstruction of the ipsilateral upper urinary tract.
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