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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Endoscopic Management of Ureterocele in Adults: A Retrospective Cohort Study from a Tertiary Hospital

G. Janardhan Goud, J. Sasi Kumar, Y. Anil Reddy, CH. Vamsheedhar, A. Jagadeeswar, P. Reshma and M. Sai Kumar Reddy
Page: 291-295 | Received 20 May 2024, Published online: 23 Jul 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.8.291.295

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Abstract

The definitive treatment of ureterocele, a congenital anomaly characterized by cystic dilatation of the distal ureter, is controversial. There is no consensus on the better surgery leading to less complications and reduce post‐operative stay days in the hospital for this condition. The primary objective of this study was to present a detailed understanding of the epidemiological and clinical characteristics of ureterocele in adults and to discuss various therapeutic modalities employed in managing this condition. A rigorous retrospective analysis of medical records was conducted for adult patients diagnosed with ureterocele during the 3‐year period from 2020 to 2023 at Mamata Medical College. The parameters under scrutiny encompassed epidemiological factors, clinical manifestations, paraclinical findings, therapeutic interventions and the evolution of the condition. Study included 11 patients, with mean±SD age of 36.30±12 years. Time of consultation ranged from 12 to 36 months. Clinical symptoms prompting consultation included atypical back pain (n=3), renal colic (n=2), and pelvic pain (n=2). Diagnostic procedures comprised ultrasound (n=7), intra venous urography (n=5) and CT urography (n=2). Ureterocele was bilateral in 2 cases and unilateral in 9, all classified as type A according to Brueziere. Specifically, 11 cases underwent a smiling mouth meatotomy involving a transverse horizontal incision, with concurrent management of any associated complications. The mean duration of postoperative stay was 1‐2 days. The mean follow‐up was 15 months, revealing that 1 patient developed vesicoureteral reflux, while no stenosis was noted. Ureterocele, although an uncommon urinary tract malformation in adults, often presents as a single ureter. The therapeutic approach in this study involved endoscopic treatment, specifically the smiling mouth meatotomy and litholapaxy in select cases, proving to be a viable and minimally invasive option for adult ureterocele. This approach demonstrated low morbidity rates and satisfactory results upon review, highlighting its potential as an alternative to conventional ureterovesical implantation.

How to cite this article:

G. Janardhan Goud, J. Sasi Kumar, Y. Anil Reddy, CH. Vamsheedhar, A. Jagadeeswar, P. Reshma and M. Sai Kumar Reddy. Endoscopic Management of Ureterocele in Adults: A Retrospective Cohort Study from a Tertiary Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.291.295
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.291.295