EXPERIENCE WITH TRANSURETHRAL INCISION OF URETEROCELES

Endoscopic Intervention Revisited

Abstract

The usefulness of transurethral resection or incision (TUR) of ureteroceles exprienced in these 16 years was evaluated.
In 12 cases (15 ureters) of simple ureteroceles without collapse and eversion, TUR (distal incision) was performed for better drainage of the ureter. Though mild VUR appeared in 3 ureters, one disappeared spontaneously. In all cases clinical symptoms such as pain and urinary infection disappeared. Stone extraction was also successful in 3 patients.
In 8 cases (8 ureters) of ectopic ureteroceles, TUR was performed for various reasons such as bladder outlet obstruction (5 ureters), drainage (2) and prolapse (1). In the former, bladder outlet obstruction was resolved in all without postoperative problems such as urinary incontinence. In particular, cecoureterocele was thought the best indication. In the latter two, TUR was also useful in 2 of 3, including one case which was thought cured only by TUR. TUR was also useful for the assessment of renal function.
Thus TUR of ureterocles was thought one of the quite useful treatments both in simple and ectopic ones when the indication was strictly selected.