Endoscopic incision of protruding right ureterocele in a single collecting system: a case report

Rinto Hariwibowo; Harrina E. Rahardjo

doi:10.13181/mji.v25i4.1352

Authors

Rinto Hariwibowo Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Harrina E. Rahardjo Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta

DOI:

https://doi.org/10.13181/mji.v25i4.1352

Keywords:

endoscopic incision, protruding ureterocele

Abstract

Protruding ureterocele is a very rare case found in the literature. We are reporting a 21 year-old female with an intermittent protruding mass from urethra, accompanied by dysuria, hematuria, and recurrent urinary tract infection. Inspection of the external genitalia revealed a protruding mass from the urethra which could be reduced manually. Excretory urography showed bilateral single collecting systems, grade II hydronephrosis of the right kidney, and a cobra head appearance of the lower right pelvis. The patient was diagnosed with a protruding right ureterocele in a single collecting system, and thus, endoscopic incision of a ureterocele was performed. Ultrasonography which was carried out three weeks after the procedure confirmed no residual hydronephrosis or ureterocele in the bladder. Voiding cystourethrography (VCUG) underwent at a three-month-follow up revealed a grade 5 vesico-ureteral reflux (VUR) on the right side. Surgical reimplantation was then considered. In conclusion, endoscopic incision was safe and yielded good result for protruding ureteroceles, but the need for secondary surgery in several conditions should be considered.

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Author Biographies

Rinto Hariwibowo, Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta

Resident, Department of Urology, Cipto Mangunkusumo Hospital

Faculty of Medicine, University of Indonesia

Harrina E. Rahardjo, Department of Urology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta

Staff, Department of Urology, Cipto Mangunkusumo Hospital

Faculty of Medicine, University of Indonesia

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