Incarcerated prolapsed ureterocele complicated by postoperative acute pyelonephritis: a case report
Changchang Hu1, LuYang Han1, Tian Ding1
1Women's Hospital, Zhejiang University School of Medicine, No. 1 Xueshi Road, Hangzhou, 310006, Zhejiang, People's Republic of China.
BMC Urology
|July 3, 2025
Summary
A rare ureterocele prolapse can mimic stress urinary incontinence (SUI) and may become incarcerated after midurethral sling surgery. Accurate diagnosis is crucial to prevent complications like acute pyelonephritis post-resection.
Area of Science:
- Urology
- Gynecology
Background:
- Ureteroceles are cystic dilatations of the terminal ureter, potentially located within the bladder or extending into the urethra.
- Ectopic ureterocele prolapse can present as a vaginal mass and cause urinary incontinence in female patients.
Purpose of the Study:
- To report a rare case of incarcerated prolapsed ureterocele mimicking stress urinary incontinence (SUI).
- To highlight the diagnostic challenges and management of ureterocele prolapse.
- To emphasize the potential complications of inappropriate SUI treatment.
Main Methods:
- Case presentation of a 37-year-old female with a prolapsed vulvar mass and urinary incontinence.
- Diagnostic imaging including ultrasound and MRI to identify bilateral ureteroceles with left ureterocele prolapse.
- Management involved manual reduction and cystoscopic resection of the prolapsed ureterocele.
Main Results:
- The patient presented with symptoms mimicking SUI, leading to prior TVT-O surgery.
- Diagnosis confirmed incarcerated prolapsed left ureterocele.
- Successful surgical management followed by antibiotic treatment for postoperative acute pyelonephritis.
Conclusions:
- Prolapsed ureteroceles can mimic SUI, leading to misdiagnosis and inappropriate treatment with midurethral slings.
- Incarcerated prolapsed ureteroceles require urgent intervention.
- Accurate diagnosis and vigilance for complications like pyelonephritis post-ureterocele resection are essential.
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