Urology Journal

ISSN: 1735-1308

March-April 2021
Vol. 18 No. 02 (2021)

Endoscopic Dilatation of Meatal Stenosis of Ureterocele in Adult Patients: An Easy and Innovative Technique with Literature Review

Urology Journal, Vol. 18 No. 02 (2021), 3 May 2021 , Page 240-246
https://doi.org/10.22037/uj.v0i0.5808

Abstract

This study presents initial experience in endoscopic meatal dilatation of obstructive ureterocele in adult patients. 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. Patients’ symptoms were relieved and no evidence of new onset vesico-ureteral reflux and obstruction were seen after up to one-year follow-up. Endoscopic meatal dilatation of stenotic ureterocele in adult patients is safe and effective thus, trying to find the orifice of ureterocele is suggested.

Keywords:
  • Meatal dilatation
  • Ureterocele
  • Ureteroscope

How to Cite

Basiri, A., Bonakdar Hashemi, M., & Aslani, A. (2020). Endoscopic Dilatation of Meatal Stenosis of Ureterocele in Adult Patients: An Easy and Innovative Technique with Literature Review. Urology Journal, 18(02), 240-246. https://doi.org/10.22037/uj.v0i0.5808

References

Stephens FD. Aetiology of ureteroceles and effects of ureteroceles on the urethra. British journal of urology. 1968;40(4):483.

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.

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