Related Experiment Video
Updated: Jun 27, 2025
06:05
Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
15.7K
Recurrent Ureterosciatic Herniation Causing Right Obstructive Uropathy
Eduardo García-Rico1, Luis Enrique Ortega-Polledo2, Diego M Carrion1
1Urology, Hospital Universitario Torrejon, Madrid, ESP.
Cureus
|April 29, 2024
Summary
Sciatic hernias involving the ureter are rare. Laparoscopic sciatic hernioplasty is an effective definitive treatment for recurrent ureterosciatic hernias after initial stenting.
Area of Science:
- Urology
- Surgical Gastroenterology
Background:
- Sciatic hernias are uncommon and difficult to diagnose.
- Ureterosciatic hernias, involving the ureter within a sciatic hernia, are exceptionally rare.
- Symptoms can be varied, including flank pain, pelvic pain, and neuropathic pain.
Observation:
- A case of a female patient with a right-sided ureterosciatic hernia presenting with nonspecific abdominal pain.
- Initial management involved ureteral stenting to reduce herniated ureteral content.
- Recurrence of symptoms and ureteral obstruction necessitated further intervention.
Findings:
- Laparoscopic sciatic hernioplasty was performed following recurrence after ureteral stenting.
- The patient experienced complete pain relief and resolution of obstructive uropathy.
- One-year follow-up confirmed the successful outcome of the surgical intervention.
Implications:
- Laparoscopic sciatic hernioplasty should be considered a definitive treatment for recurrent ureterosciatic hernias.
- This approach offers a successful resolution for patients with complex ureteral obstruction due to sciatic hernia.
- Highlights the importance of considering rare diagnoses in cases of persistent abdominal and pelvic pain.
Related Concept Videos
01:20Disorders of the Urinary System
294
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
294
01:22Ureters
465
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
465
01:10Nephrons
2.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.4K
01:20Renal Corpuscle
2.0K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
2.0K
01:26The Micturition Reflex
578
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
578
01:23Urinary Bladder
647
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
647