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Ureterocele prolapse eliciting unusual patient behavior to control intermittent voiding

Hidenori Nishio1, Kentaro Mizuno1, Daisuke Matsumoto2

  • 1Department of Pediatric Urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Urology Case Reports
|December 8, 2022
PubMed

Insights

Ureterocele prolapse can cause difficult urination, especially in children. Diagnosing this congenital bladder obstruction requires noticing unusual voiding behaviors.

Area of Science:

  • Pediatric Urology
  • Congenital Abnormalities
  • Voiding Dysfunction

Background:

  • Ureterocele prolapse is a rare condition that can lead to urinary obstruction.
  • Congenital bladder outlet obstructions can present with subtle or atypical symptoms in children.

Observation:

  • A 6-year-old boy exhibited a unique behavior of tapping his lower abdomen during interrupted urinary streams.
  • This specific voiding behavior was the key indicator of an underlying condition.

Findings:

  • Voiding cystourethrography confirmed ureterocele prolapse as the cause of intermittent voiding.
  • Surgical intervention, specifically transvesicoscopic ureteral reimplantation with ureterocelectomy, successfully improved urinary flow.

Implications:

  • Congenital bladder obstructions may be challenging to diagnose if patients develop adaptive behaviors.
  • Recognizing atypical voiding habits is crucial for early diagnosis and effective management of pediatric voiding difficulties.

Keywords:
UFM, uroflowmetryUreterocele prolapseUreterocelectomyVCUG, voiding cystourethrographyVoiding cystourethrographyVoiding intermittency

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