Bilateral Simple Orthotopic Ureteroceles in an Adult Male Complaining of Urgency and Pain on UrinationReportar como inadecuado




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We report a case of a 38-year-old man with a simple orthotopic bilateral ureterocele and pain on urination that was improved by transurethral incision. His symptoms were present for 3 years since he first visited our hospital in 2012. Cystoscopy at our hospital revealed a simple bilateral ureterocele, and he was given an alpha blocker plus anticholinergic agent. The medication did not relieve his symptoms. Three years after his initial visit in 2012, he returned for a re-evaluation in May, 2015, because his symptoms had worsened. Computed Tomography CT showed normal locations of the bilateral ureteric orifices in the bladder, bilateral ureterocele with a right-sided predominance and a cobra head sign, and bilateral hydroureter. We performed a transurethral incision of his ureteroceles. Intraoperatively, we found that the ureterocele on the right ureter entered the opening and expanded at the time of urine discharge. The symptoms significantly improved after the procedure.

KEYWORDS

Simple Orthotopic Ureterocele, Transurethral Incision of Ureteroceles, Ureterocele Complications

Cite this paper

Takeuchi, H. , Tokuyama, N. , Kuroda, I. and Aoyagi, T. 2016 Bilateral Simple Orthotopic Ureteroceles in an Adult Male Complaining of Urgency and Pain on Urination. Case Reports in Clinical Medicine, 5, 297-301. doi: 10.4236-crcm.2016.59047.





Autor: Hisashi Takeuchi*, Naoto Tokuyama, Isao Kuroda, Teiichiro Aoyagi

Fuente: http://www.scirp.org/



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