Ureterocystoplasty in a Girl with Bilateral Ureterovesical Junction Obstructions and Small Bladder Capacity: The First Case Report of Thailand

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Chaiyong Nualyong
Bansithi Chaiyaprasithi
Thawathai Mankongsrisuk
Santosh Shrestha
Kittipong Phinthusophon

Abstract

Objective: Ureterocystoplasty is one of the treatment options for small bladder capacity with hydroureter. To the
best of our knowledge, there was no report of a patient who underwent this procedure in Thailand.
Case presentation: A 4-year-old girl, who presented with obstructive anuria at birth was diagnosed with bilateral
ureteropelvic junction obstruction and small bladder capacity. At the age of 2 years old, she underwent a teapot
ureterocystoplasty with left to right transuretero-ureterostomy with right ureteral reimplantation. Postoperative
complication was observed. The bladder capacity was evaluated and kidney ultrasonography was done during the
follow up. There was no complication during the perioperative period. The bladder capacity was increased from
25 ml to 240 mL in 2 years postoperatively. Both kidneys also showed the decrease in degree of hydronephrosis.
Conclusion: Ureterocystoplasty is a favorable treatment option for the patients with small bladder capacity and
marked hydroureter. The procedure itself is not difficult to perform. Moreover, there are no mucous related
complications and metabolic disturbances.

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How to Cite
Nualyong, C., Chaiyaprasithi, B., Mankongsrisuk, T., Shrestha, S., & Phinthusophon, K. (2018). Ureterocystoplasty in a Girl with Bilateral Ureterovesical Junction Obstructions and Small Bladder Capacity: The First Case Report of Thailand. Siriraj Medical Journal, 70(4), 355–356. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/153941
Section
Case Report