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Endoscopic Dilatation of Stenotic Native Meatus of an Orthotopic Ureterocele: An Easy and Innovative Technique

Abbas Basiri, Milad Bonakdar Hashemi, Arsalan Aslani
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Abstract

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.


Keywords

Meatal dilatation, Ureterocele, Ureteroscope

References

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Palmer BW, Greger H, Mannas DB, al. e. Comparison of endoscopic ureterocele decompression techniques. Preliminary experience--is the watering can puncture superior? The Journal of urology. 2011;186(4 Suppl):1700-3.

Plaire JC, Pope JCt, Kropp BP, Adams MC, Keating MA, Rink RC, et al. Management of ectopic ureters: experience with the upper tract approach. The Journal of urology. 1997;158(3 Pt 2):1245-7.

Park JS, Lee YS, Lee CN, Kim SH, Kim SW, Lee H, et al. Transurethral incision as initial option in treatment guidelines for ectopic ureteroceles associated with duplex systems. World journal of urology. 2019.

Shah HN, Sodha H, Khandkar AA, Kharodawala S, Hegde SS, Bansal M. Endoscopic management of adult orthotopic ureterocele and associated calculi with holmium laser: experience with 16 patients over 4 years and review of literature. Journal of endourology. 2008;22(3):489-96.




DOI: http://dx.doi.org/10.22037/uj.v0i0.5808

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