Uretrocele - our short experience

Ureterocele is a cystic dilatation of the lower end of the ureter where it joins the epithelium of the lower Urinary tract.In this series, we share our experience with 3 cases of Ureterocele treated in our department over last 6 months with selective cystoscopic incision.Case Report 110 days old male child presented with antenatally detected partial pelviureteric junction obstruction with hydronephrosis on left side. Postnatal USG showed left bifid collecting system with upper moiety hydronephrosis and ureterocele. Voiding cystourethrogram showed no reflux. Radionuclide scan showed adequate cortical function. On cystoscopy intravesical ureterocele was noted which was treated with selective incision with bugbee electrode over medial base.Case Report 2 3 months old male child presented with mass over left lumbar region and on further evaluation showed gross hydronephrosis of left kidney with ureterocele. Voiding cystourethrogram showed no reflux. Radionuclide scan showed adequate function On cystoscopy - intravesical ureterocele was noted and treated with incision and decompression with bugbee electrode.Case Report 32 days old female child presented with history of antenatally detected right sided renal anomaly. Postnatal USG showed right sided hydroureteronephrosis. Voiding cystourethrogram showed no reflux. Repeat USG at 1 month of age showed right gross hydroureteronephrosis with ureterocele.Radionuclide scan showed function of 35 on right side. On cystoscopy -intravesical ureterocele was noted . Vertical incision with bugbee electrode was made over medial base and ureterocele decompressed.Endoscopic treatment provided an effective option for non refluxing, salvageable systems in treatment of ureteroceles.