Background: This study presents initial experience in endoscopic meatal dilatation of obstructive ureterocele in adult patients.
Surgical technique: During cystourethroscopy, we tried to find the orifice of ureterocele, passed a guide wire and introduce an 8 Fr ureteroscope in to the ureterocele orifice, going up to the renal pelvis as under vision dilatation of ureterocele meatus. Two Double-J stent were inserted and remained for six weeks to keep the meatus dilated. Adverse effect of endoscopic management was decreased due to minimal anatomic changes.
Results: Patients’ symptoms were relieved and no evidence of new onset vesico-ureteral reflux and obstruction were seen after up to one-year follow-up.
Conclusion: Endoscopic meatal dilatation of stenotic ureterocele in adult patients is safe and effective thus, try to find the orifice of ureterocele is suggested.
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