In the physical examination, rectocele was detected in 24 patients, cystocele was detected in 72 patients, and ureterocele
was detected in 16 patients (Table-I).
Many kinds of congenital obstructive uropathies (OUP) (ureteropelvic junction obstruction, ureterovesical junction obstruction, posterior urethral valves, ureterocele
) may cause PHA.
The differential diagnosis of ANH, in order of likelihood, includes transient primary hydronephrosis, uretero-pelvic junction obstruction (UPJO), vesicoureteric reflux (VUR), uretero-vesical junction obstruction (UVJO) or primary non-obstructive megaureter, ureterocele
, ectopic ureter and causes of megacystis.
In particular, genitourinary malformations such as dysplastic and multicystic kidneys, hydronephrosis, hydroureter, ureterocele
, duplicated renal collecting system, and absent bladder are common as extensive injury and fibrosis of the uroepithelium can lead to obstructive uropathies .
Son pocos los pacientes que necesitan de intervencion quirurgica debido a la duplicacion ureteral, ya que en estos pacientes, los hallazgos tipicos son ureterocele
obstructivo, reflujo vesicoureteral grave y/o ureter ectopico, muchas veces en combinacion con una porcion de tejido renal no funcional (Ellerkamp et al.; Senel et al.).
The patient was treated with endoscopic ureterocele
incision and stone extraction.
Patients with otherwise complex and potentially confounding urologic conditions were excluded, including neurogenic bladder, ureterocele
, posterior urethral valves, prune belly syndrome, ureteropelvic junction obstruction, or nephrolithiasis.
In this report, we discuss an interesting case of an infant who presented with a seizure after birth and was later found to have panhypopituitarism with an absence of pituitary gland, situs inversus, and left ureterocele
In our group, three categories of congenital abnormalities were found, namely, primary megaureter, primary vesicoureteral reflux, and ureterocele
. Our findings did not indicate that any of these conditions directly affected the results of the endoscopic procedures.
Risk factors for urinary tract infection were uro-genital interventions and pathologies (transurethral prostate surgery, bladder cancer surgery, urolithiasis operation, benign prostatic hypertrophy, ureterocele
, etc.) in 38% and diabetes mellitus in 32% of the patients.
The main differential of this entity is Ureterocele
, which is congenital dilatation of the distal most part of the ureter.
Duplex collecting systems are one of the most commonly encountered anomalies of upper urinary system and can be seen with anomalies like ectopic ureter, ureterocele
, and vesicoureteral reflux but can also present as a normal functioning kidney with complete or partial duplication.