Ureteral varicosities—A cause of the corkscrew ureter

Abstract

Abstract Fifteen cases of ureteric varicose veins are discussed. They nearly all (a) present with haematuria or (b) show a scalloped corkscrew-like appearance to the ureter on the intravenous pyelogram without evidence of proximal obstruction. Varicose veins of the lower limbs and varicocoele are commonly present. It is suggested that there are two main types: those draining vertically via the renal pedicle and those draining via a ‘communicating’ vein in the gonadal vessels. Spermatic phlebography is suggested as a possible aid to differential diagnosis in the future.