Transurethral excision of prolapsed ureterocele

Nitya E. Abraham, Howard B. Goldman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: A ureterocele is a cystic dilation of the terminal ureter. The incidence ranges from 1/500 to 1/1,200. Ureteroceles are more commonly diagnosed in women; 10 % are bilateral, and 80 % are associated with the upper pole of a duplicated system. A prolapsed ureterocele is one that extends to or beyond the urethral meatus, and the incidence is unknown. Managing prolapsed ureterocele in adult women is not well described in the literature.

Methods: The aim of this video is to demonstrate the technique of transurethral excision of a prolapsed ureterocele associated with a normal kidney in an adult woman, which eliminates the ureterocele while avoiding the morbidity of open surgical excision.

Results: The patient initially underwent transurethral incision of the ureterocele, after which her obstructive symptoms improved. However, she still complained of a mass protruding from her urethra. The patient subsequently underwent transurethral excision of the ureterocele. On the 18-month follow-up, she was voiding without difficulty and had no residual urethral mass. She is being followed clinically, and upper urinary tract imaging will be performed to rule out hydronephrosis or vesicoureteral reflux, as indicated. Pathology revealed urothelial mucosa.

Conclusion: Transurethral incision of a prolapsed ureterocele can be attempted as first-line treatment due to the low morbidity of the procedure. If the patient still has lower urinary tract symptoms, transurethral excision can successfully treat a large prolapsed ureterocele.

Original languageEnglish (US)
Pages (from-to)1435-1436
Number of pages2
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume25
Issue number10
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Ureterocele
Morbidity
Vesico-Ureteral Reflux
Lower Urinary Tract Symptoms
Hydronephrosis
Incidence
Urethra
Ureter
Urinary Tract
Dilatation
Mucous Membrane

Keywords

  • Surgery
  • Ureterocele

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology
  • Medicine(all)

Cite this

Transurethral excision of prolapsed ureterocele. / Abraham, Nitya E.; Goldman, Howard B.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 25, No. 10, 2014, p. 1435-1436.

Research output: Contribution to journalArticle

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