Surgery to repair the ureterocele cures the condition in most cases. Your surgeon may cut into the ureterocele. Another surgery may involve removing the ureterocele and reattaching the ureter to the bladder.
What is the prognosis of a ureterocele?
Outcomes vary by individual. In most cases, any damage that occurred as a result of the ureterocele is only temporary and is alleviated once it has been removed. If the ureterocele cannot be completely removed, however, the obstruction can cause lasting kidney damage.
What happens after a ureterocele repair?
After the ureterocele is repaired with endoscopic puncture or incision, some patients require reconstruction to either the lower (bladder or bladder neck) or upper urinary tract. Re construction prevents reflux, obstruction, or any urination abnormalities later in life.
Is total reconstructive bladder surgery an initial treatment for ectopic ureteroceles?
We assessed the long-term results of total reconstructive bladder surgery as initial treatment of ectopic ureteroceles.
What is ureterocele surgery and how does it work?
Essentially, this surgery is a repositioning of the ureter in the bladder wall: It fixes the position and connection of the ureter and bladder, preventing urine reflux. The procedure is done under general anesthesia, and requires three small incisions to the lower abdomen to remove the ureterocele.
What is ureterocele surgery?
If the ureterocele must be removed, then an operation is done. For this surgery, the bladder is opened, the ureterocele is removed, the floor of the bladder and bladder neck are rebuilt, and the ureteral flap valve recreated to prevent urine from flowing backward to the kidney.
Can a ureterocele go away?
Antibiotics are often given to prevent further infections until surgery can be done. The goal of treatment is to eliminate the blockage. Drains placed in the ureter or renal area (stents) may provide short-term relief of symptoms. Surgery to repair the ureterocele cures the condition in most cases.
Does ureterocele need treatment?
Treatment for a ureterocele depends on when it is identified. If a ureterocele is identified in the prenatal period, treatment may include antibiotics. A minor procedure called a ureterocele puncture may also be done to correct the condition soon after birth, or while your child is still an infant.
Can ureterocele cause obstruction?
Ureteroceles often cause obstruction of urine flow from the kidney to the bladder which can damage the kidney over time.
Can you fix a urethrocele?
Unless another health problem is present that would require an abdominal incision, the bladder and urethra are usually repaired through an incision in the wall of the vagina. This surgery pulls together the loose or torn tissue in the area of prolapse in the bladder or urethra and strengthens the wall of the vagina.
Is a urethrocele serious?
In most cases, urethrocele does not cause serious health problems. But it may cause you to leak urine. You may notice this when you cough, laugh, or jump. You may also have problems emptying your bladder.
What is ureterocele incision?
When the ureterocele is identified, a small incision is made to puncture it. Ureteral reimplantation: Under general anesthesia and through a lower abdominal incision, the ureterocele is removed and the ureter is reimplanted where it joins the bladder.
What causes ureterocele in adults?
Ureteroceles are cystic dilatations of the distal ureter that occur due to congenital ureteric wall weakness. They can be orthotopic, occurring in normal ureteric locations and most commonly seen in adults.
What does a urethrocele feel like?
a feeling of fullness or pressure in the pelvic and vaginal area. aching discomfort in the pelvic area. urinary problems, such as stress incontinence, being unable to empty the bladder, and frequent urination.
Is ureterocele genetic?
Ureterocele, an anomaly of ureteric budding, is likely a component of a spectrum of anomalies including vesicoureteral reflux and ureteral duplications. Both have been confirmed to have a genetic and familial basis.
Is ureterocele a cyst?
A ureterocele is a cystic out-pouching of the distal ureter into the urinary bladder. It is one of the more challenging urologic anomalies facing pediatric and adult urologists.
Can ureterocele cause hydronephrosis?
Rarely, large ectopic ureteroceles can cause bladder outlet obstruction and retention of urine with bilateral hydronephrosis.
Is reconstruction of the upper tract safe?
Complete reconstruction appears to be safe and highly effective even in infancy for treating extravesical ureterocele. Although the primary upper tract approach is associated with a significantly higher reoperation rate, it is a favorable alternative in patients with no preoperative reflux. However, …
Is transurethral decompression effective for intravesical ureterocele?
However, while transurethral decompression is effective in the majority of patients with intravesical ureterocele, it is not definitive therapy for extravesical ureterocele ...
When was ectopic ureteroceles surgery performed?
Long-term followup was evaluated in 54 children treated for ectopic ureteroceles with total upper and lower urinary tract reconstructive surgery between 1988 and 2003, with special focus on the primary outcome factors continence and urinary tract infections.
Can ectopic ureteroceles be treated?
The treatment of ectopic ureteroceles remains a topic of discussion. In the literature it is becoming apparent that total reconstructive bladder surgery could be the treatment of choice for this specific type of congenital a nomaly of the urinary tract. 1, 2, 3, 4, 5 Still, there remains concern that total reconstructive bladder surgery might have a negative influence on the urodynamic behavior of the bladder, especially when performed during infancy. No evidence exists to support the concern that manipulation at the trigone will result in increased urodynamic morbidity at any age, and there is abundant evidence to the contrary. 2, 6, 7, 8, 9, 10
How to treat ureterocele?
With this treatment, the ureterocele is punctured and decompressed. To do this a cystoscope (a thin tube with camaera and light on the end) is used. It usually takes 15 to 30 minutes and can be done without an overnight stay in the hospital. This treatment doesn't use a large incision. But, if the ureterocele wall is thick, it may not work. If it doesn't work, an open operation may be needed. Also, there is a slight risk of causing an obstructive flap valve. This would make it difficult to urinate. This treatment works best when the ureterocele is within the bladder (orthotopic).
How long does it take to treat a urethral puncture?
To do this a cystoscope (a thin tube with camaera and light on the end) is used. It usually takes 15 to 30 minutes and can be done without an overnight stay in the hospital. This treatment doesn't use a large incision.
How is ureteral flap valve rebuilt?
For this surgery, the bladder is opened, the ureterocele is removed, the floor of the bladder and bladder neck are rebuilt, and the ureteral flap valve recreated to prevent urine from flowing backward to the kidney. The operation is done with a small incision in the lower abdomen. It is a complex surgery, but it is successful 90-95% of the time.
What is it called when you have two ureters draining your kidney?
A "duplex anomaly" can be associated with a variety of conditions that can affect the kidney health. One of these conditions is referred to as "ureterocele.". Ureterocele is a congenital anomaly (present at birth) ...
Why does urine blockage affect kidney function?
Urine blockage may damage the developing kidneys and reduce their ability to filter. Reflux of urine backward to the kidney is also common, especially when there are two ureters in one kidney. This is because the ureterocele distorts the normal one-way valve between the ureter and bladder. Reflux into the opposite kidney may happen.
What is a ureteral anomaly?
One of these conditions is referred to as "ureterocele.". Ureterocele is a congenital anomaly (present at birth) that affects girls more than boys. It is simply a swelling limited to the end of the ureter as it enters the bladder.
What happens if you have no urine reflux in your second ureter?
If there is no urine reflux in the second ureter, the damaged part of the kidney may be removed. Often, this operation is done either through a small cut under the ribs, or laparoscopically. Nephrectomy. If the entire kidney does not work because of the ureterocele, it must be removed.
What is the treatment for ureterocele?
If a ureterocele is identified in the prenatal period, treatment may include antibiotics. A minor procedure called a ureterocele puncture may also be done to correct the condition soon after birth, or while your child is still an infant.
What is a ureterocele?
Ureteroceles are birth defects that happen during the prenatal period. The ends of the ureter that enter the bladder do not develop properly. The ureterocele blocks the flow of urine. The defect can be found before birth. Treatment depends on when the defect is discovered.
What is the name of the birth defect that affects the kidneys and ureters?
A ureterocele is a birth defect that affects the kidney, ureters (the tubes that carry urine from the kidneys to the bladder) and bladder. A ureterocele blocks the flow of urine which causes swelling at the bottom of the affected ureter. Cleveland Clinic is a non-profit academic medical center.
When does a ureter form?
A ureterocele forms during the prenatal period when the end of ureter that enters the bladder does not develop properly.
What is the treatment for urinary tract infection in older adults?
In older children or adults, treatment can range from observation to reconstructive urinary tract surgery. Your care provider will advise you on the best course of treatment.
Can a ureter be seen during an ultrasound?
Ureteroceles may be diagnosed during an ultrasound before a baby is born . The swollen ureter and kidney may be visible during the procedure.
Can ureterocele damage kidneys?
If left untreated, a ureterocele can damage the bladder and kidneys.
What is a ureter ureterocele?
Share. A ureterocele is a swelling at the bottom of one of the ureters. Ureters are the tubes that carry urine from the kidney to the bladder. The swollen area can block urine flow. A ureterocele is a birth defect.
How many people have ureterocele?
Ureteroceles occur in about 1 in 500 people. This condition is equally common in both the left and right ureters.
What is the name of the disorder where the ureter develops an out-pouching as it enters?
A ureterocele is a congenital (from birth) disorder in which the ureter develops an out-pouching as it enters the bladder. Treatment of the ureterocele usually involves the placement of a stent to relieve the obstruction and/or surgical repair.
What is the part of the bladder that prevents urine from moving freely?
It is the part where the tube enters the bladder. The swollen area prevents urine from moving freely into the bladder. The urine collects in the ureter and stretches its walls. It expands like a water balloon. A ureterocele can also cause urine to flow backward from the bladder to the kidney. This is called reflux.
What does a urinalysis reveal?
A urinalysis may reveal blood in the urine or signs of urinary tract infection.
How to repair ureter?
Surgery to repair the ureterocele cures the condition in most cases. Your surgeon may cut into the ureterocele. Another surgery may involve removing the ureterocele and reattaching the ureter to the bladder. The type of surgery depends on your age, overall health, and extent of the blockage.
When is a large ureterocele diagnosed?
Large ureteroceles are often diagnosed earlier than smaller ones. It may be discovered in a pregnancy ultrasound before the baby is born.
Why are ureteroceles treated?
Ureteroceles are treated for several reasons. Ureteroceles are believed to increase the risk of urinary tract infection. Ureteroceles often cause obstruction of urine flow from the kidney to the bladder which can damage the kidney over time.
How to treat ureteroceles in older children?
In older children, ureteroceles are sometimes treated differently depending on how well the kidney functions, how big the ureterocele is, how severe the dilation of the ureter and kidney is, whether the kidney is a duplex kidney, and whether the other ureter in a duplex kidney has reflux. Treatment options range from observation to several types of reconstructive surgery for the urinary tract. Your pediatric urologist will discuss these options with you.
How to diagnose ureterocele?
A ureterocele is most commonly diagnosed by ultrasound. An ultrasound is very good at detecting dilation (hydronephrosis) of the kidney and ureter that can be seen with ureteroceles as well as detecting the ureterocele itself in the bladder. Other tests are often performed when a ureterocele is diagnosed.
What is a duplex kidney?
If the ureterocele is associated with a duplex kidney, it is the ureter that drains the upper part of the kidney that has the uretero cele. Kidneys that have a ureterocele often are dilated and can have obstruction to urine flow.
Why do ureter tubes form?
It is unknown exactly why ureteroceles form, but it is thought to be due to an abnormality of the formation of the ureter tube as it inserts into the bladder. Ureteroceles occur in about one of every 1000 births and are more common in a duplex kidney, which is a kidney with two ureters that drain into the bladder.
What is a ureterocele scan?
Other tests are often performed when a ureterocele is diagnosed. A radionuclide scan is a special radiology test that looks at how well a kidney functions. Sometimes, the kidney or part of the kidney that has the ureterocele does not function well.
What tests are done for ureterocele?
If a child has reconstructive surgery for a ureterocele, they are also generally followed with renal ultrasounds to ensure the kidneys are growing well and draining well. Other tests may be needed in specific situations that your pediatric urologist will discuss with you.