URETEROCELE: WITH CASE REPORTS OF BILATERAL URETEROCELE IN IDENTICAL TWINS*

Publisher Website
Google Scholar
Abstract
Summary: Eight cases of ureterocele are reported, of which 5 cases were bilateral. This is at variance with the incidence of unilateral and bilateral ureteroceles reported in the literature.Two of the patients in this group were identical twins, both of whom had bilateral ureteroceles. This is believed to be strong evidence that at least some cases are congenital in origin.Metaplasia of that portion of the bladder epithelium overlying the ureterocele to stratified squamous epithelium was noted in 2 cases. To our knowledge this has not been previously described.Cystoscopy is the most dependable means of diagnosis. Intravenous urography is an excellent procedure for evaluating upper tract damage and for visualising moderate or large ureteroceles.The presence of an ureterocele is an indication for treatment. Good results can be obtained in most cases by transurethral procedures. Suprapubic operations are seldom indicated. Bilateral ureteroceles may be treated at one time provided adequate drainage is established with minimal surgical trauma. In the collapsible type of ureterocele meatotomy or dilatation may suffice. In the well‐advanced non‐collapsible type a transurethral resection is the operation of choice. Sufficient tissue should be left on the proximal side of the cystic masses to allow for the formation of post‐operative ureteral valves.A new electro‐ureterotome has been successfully employed in the collapsible type of ureterocele.

This publication has 3 references indexed in Scilit: