Ureterocele

Abstract

Abstract Ureterocele occurs more frequently in the female than in the male and may present at any age. The ectopic ureterocele must be distinguished from the orthotopic variety. Small ureteroceles are often symptomless, but larger ones may cause loin pain, retention of urine, and external prolapse. There is an increased incidence of duplication in cases of ureterocele. Attention is drawn to the significance of dilatation of the intramural ureter which leads to reflux after incision of a ureterocele. Small symptomless ureteroceles need no treatment. Although perurethral diathermy incision may be followed by reflux there is a place for this treatment in adults. Large ureteroceles and those presenting in childhood should be treated by open excision employing a reflux-preventing technique.