Endoscopic incision of protruding right ureterocele in a single collecting system: a case report
Abstract: Protruding
ureterocele is a very rare case found in the literature. We are reporting a 21
year-old female with an intermittent protruding mass from urethra, accompanied
by dysuria, hematuria, and recurrent urinary tract infection. Inspection of the
external genitalia revealed a protruding mass from the urethra which could be reduced
manually. Excretory urography showed bilateral single collecting systems, grade
II hydronephrosis of the right kidney, and a cobra head appearance of the lower
right pelvis. The patient was diagnosed with a protruding right ureterocele in
a single collecting system, and thus, endoscopic incision of a ureterocele was
performed. Ultrasonography which was carried out three weeks after the
procedure confirmed no residual hydronephrosis or ureterocele in the bladder.
Voiding cystourethrography (VCUG) underwent at a three-month-follow up revealed
a grade 5 vesico-ureteral reflux (VUR) on the right side. Surgical
reimplantation was then considered. In conclusion, endoscopic incision was safe
and yielded good result for protruding ureteroceles, but the need for secondary
surgery in several conditions should be considered.
Keywords: endoscopic incision;
protruding ureterocele
Author: Rinto Hariwibowo,
Harrina E. Rahardjo
Journal Code: jpkedokterangg160308
