An intravesical ureterocele with a large impact stone: a case report

Abstract

Ureteroceles may be asymptomatic, or they may produce a wide range of clinical signs and symptoms. Stasis of urine in the dilated distal segment leads to recurrent urinary tract infection and stone formation. This case study concerns 51-year-old women presenting with intermittent left flank and left lower quadrant pain for 6 months from an intravesical ureterocele with a large impact stone. A diagnosis was based on ultrasonography, CT scan and cystoscopic examination. Transurethral incision left ureterocele, then cystolitholapaxy using 26 Fr Resectoscope and hook electrode with U-shaped incision and stone fragmentation with a stone punch. The procedures were performed with successful resolution of symptoms. Voiding cystourethrogram; VCUG at 10 weeks later after surgery showed none of vesicoureteral reflux; VUR.