Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO

Smith Giscard Olagui; Dimitri Mbethe; Christelle Mézene; Adrien Mougougou; Gloire Allogho Mbouye; Mariette Nsa Bidzo; Fatou SY-Moutsinga; Jean Placide Owono Mbouengou; Eric Jacob Benizri

doi:doi:10.11648/j.ijmcr.20220104.11

Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO

Smith Giscard Olagui, Dimitri Mbethe, Christelle Mézene, Adrien Mougougou, Gloire Allogho Mbouye, Mariette Nsa Bidzo, Fatou SY-Moutsinga, Jean Placide Owono Mbouengou, Eric Jacob Benizri

Published in International Journal of Medical Case Reports (Volume 1, Issue 4)

Received: 10 September 2022 Accepted: 12 October 2022 Published: 23 November 2022

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Abstract

Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case of complicated or symptomatic ureterocele. Early decompressive treatment is advocated to reduce the risk of related renal and urinary tract damage. Endoscopic techniques of incision have been offered utilizing diathermic electrode. Observation: We report the clinical case of a 39-year-old man suffering from chronic low back pain not relieved by medical treatment. The ultrasound performed shows signs of ureteral obstruction of bladder origin. The cystoscopy made it possible to make the diagnosis of a voluminous right ureterocele, which will be treated by transurethral incision at the diathermic loop. The post-operative follow-up was simple. At 3 months, there was no vesico-ureteral reflux, no infection, no recurrence of the ureterocele. Discussion: It is a congenital malformation that affects several births. The etiology remains unknown, and the obstructive malformation theory is the most evoked. Its clinical symptomatology is non-specific. Its diagnosis is endoscopic, and the treatment is most often surgical depending on the type and its clinical presentation. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.

Published in	International Journal of Medical Case Reports (Volume 1, Issue 4)
DOI	10.11648/j.ijmcr.20220104.11
Page(s)	36-39
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Ureterocele, Endoscopic Resection, Endoscopic Meatotomy

References

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[2]	Sadiki R, Sadiq A, Tazi K, Koutani A, Hachimi M, Lakrissa A. Ureterocele in adults based on a series of 14 cases. Prog Urol. 2005 Apr; 15 (2): 231-7; discussion 237. French. PMID: 15999599.
[3]	Derouiche A, Belhaj K, Feki W, Zaafrani R, Chebil M. Place of endoscopic treatment of complicated ureteroceles in adults. Prog Urol. 2007 Nov; 17 (7): 1362-6.
[4]	Kurokawa T, Kabuto T, Matsuta Y, Aoki Y, Ito H, Yokoyama O, Oyama N. [Adult Male Ureterocele Detected by Urinary Frequency]. Hinyokika Kiyo. 2017 May; 63 (5): 207-210. Japanese.
[5]	Oueslati A, Saadi A, Chakroun M, Zaghbib S, Bouzouita A, Derouiche A, Slama MRB, Ayed H, Chebil M. Endoscopic meatotomy in the treatment of ureterocele: results in adult patients. Pan Afr Med J. 2020 Aug 4; 36: 243.
[6]	Moore K, Bolduc S. Treatment of vesicoureteral reflux in adults by endoscopic injection. Urology. 2011 Jun; 77 (6): 1284-7.
[7]	Kajbafzadeh A, Salmasi AH, Payabvash S, Arshadi H, Akbari HR, Moosavi S. Evolution of endoscopic management of ectopic ureterocele: a new approach. JUrol. 2007; 177 (3): 1118–23.
[8]	Sharma A, Garg G, Sharma A, Kumar M, Sankhwar SN. Comparison of electrocautery versus holmium laser energy source for transurethral ureterocele incision: an outcome analysis from a tertiary care institute. Lasers Med Sci. 2021 Apr; 36 (3): 521-528.
[9]	Osipov, I B et al. “Kidney triplication with ectopic ureterocele: a case report” BMC urology vol. 20, 1 54. 13 May. 2020.
[10]	Pariente JL. Surgical and endoscopic treatment of ureteroceles in adults. Encycl Med Chir Scientific and Medical Editions Elsevier SAS, Paris: Surgical techniques - Urology. 2001.
[11]	Blanco M, Laguna M, Candelaria T, Salamida A, Vallejos J. Ureterocele [Ureterocele]. Medicina (B Aires). 2022; 82 (3): 458.
[12]	Parmar KM, Sharma P, Mandal S, Kumar S. Ureterocele with impacted stone. BMJ Case Rep. 2020 Jul 8; 13 (7): e236301. doi: 10.1136/bcr-2020-236301.
[13]	Ruiz-Oslé S, Crespo-Atín V. Ureterocele habitado y doble sistema incompleto [Occupied ureterocele and incomplete double collecting system.]. Arch Esp Urol. 2020 Sep; 73 (7): 659-660.
[14]	Yoshimura A, Yamanaka K, Wakita T, Fukae S, Yoshida T, Kishikawa H. [Ectopic Ureterocele of Adult Male with Urination Difficulty: A Case Report]. Hinyokika Kiyo. 2021 Aug; 67 (8): 381-384.
[15]	Sales FRD, Dourado GAC, Ribeiro ACM, de Holanda Madeira Barros H, Cristino DS, Castro AAG, Mesquita FJC. Case Report: Prolapsed Ureterocele-A Differential Diagnosis of Urethral Cists. Case Rep Urol. 2020 Mar 18; 2020: 2490129.

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APA Style

Smith Giscard Olagui, Dimitri Mbethe, Christelle Mézene, Adrien Mougougou, Gloire Allogho Mbouye, et al. (2022). Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. International Journal of Medical Case Reports, 1(4), 36-39. https://doi.org/10.11648/j.ijmcr.20220104.11

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ACS Style

Smith Giscard Olagui; Dimitri Mbethe; Christelle Mézene; Adrien Mougougou; Gloire Allogho Mbouye, et al. Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. Int. J. Med. Case Rep. 2022, 1(4), 36-39. doi: 10.11648/j.ijmcr.20220104.11

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AMA Style

Smith Giscard Olagui, Dimitri Mbethe, Christelle Mézene, Adrien Mougougou, Gloire Allogho Mbouye, et al. Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. Int J Med Case Rep. 2022;1(4):36-39. doi: 10.11648/j.ijmcr.20220104.11

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@article{10.11648/j.ijmcr.20220104.11,
  author = {Smith Giscard Olagui and Dimitri Mbethe and Christelle Mézene and Adrien Mougougou and Gloire Allogho Mbouye and Mariette Nsa Bidzo and Fatou SY-Moutsinga and Jean Placide Owono Mbouengou and Eric Jacob Benizri},
  title = {Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO},
  journal = {International Journal of Medical Case Reports},
  volume = {1},
  number = {4},
  pages = {36-39},
  doi = {10.11648/j.ijmcr.20220104.11},
  url = {https://doi.org/10.11648/j.ijmcr.20220104.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20220104.11},
  abstract = {Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case of complicated or symptomatic ureterocele. Early decompressive treatment is advocated to reduce the risk of related renal and urinary tract damage. Endoscopic techniques of incision have been offered utilizing diathermic electrode. Observation: We report the clinical case of a 39-year-old man suffering from chronic low back pain not relieved by medical treatment. The ultrasound performed shows signs of ureteral obstruction of bladder origin. The cystoscopy made it possible to make the diagnosis of a voluminous right ureterocele, which will be treated by transurethral incision at the diathermic loop. The post-operative follow-up was simple. At 3 months, there was no vesico-ureteral reflux, no infection, no recurrence of the ureterocele. Discussion: It is a congenital malformation that affects several births. The etiology remains unknown, and the obstructive malformation theory is the most evoked. Its clinical symptomatology is non-specific. Its diagnosis is endoscopic, and the treatment is most often surgical depending on the type and its clinical presentation. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.},
 year = {2022}
}

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TY - JOUR
T1 - Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO
AU - Smith Giscard Olagui
AU - Dimitri Mbethe
AU - Christelle Mézene
AU - Adrien Mougougou
AU - Gloire Allogho Mbouye
AU - Mariette Nsa Bidzo
AU - Fatou SY-Moutsinga
AU - Jean Placide Owono Mbouengou
AU - Eric Jacob Benizri
Y1 - 2022/11/23
PY - 2022
N1 - https://doi.org/10.11648/j.ijmcr.20220104.11
DO - 10.11648/j.ijmcr.20220104.11
T2 - International Journal of Medical Case Reports
JF - International Journal of Medical Case Reports
JO - International Journal of Medical Case Reports
SP - 36
EP - 39
PB - Science Publishing Group
SN - 2994-7049
UR - https://doi.org/10.11648/j.ijmcr.20220104.11
AB - Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case of complicated or symptomatic ureterocele. Early decompressive treatment is advocated to reduce the risk of related renal and urinary tract damage. Endoscopic techniques of incision have been offered utilizing diathermic electrode. Observation: We report the clinical case of a 39-year-old man suffering from chronic low back pain not relieved by medical treatment. The ultrasound performed shows signs of ureteral obstruction of bladder origin. The cystoscopy made it possible to make the diagnosis of a voluminous right ureterocele, which will be treated by transurethral incision at the diathermic loop. The post-operative follow-up was simple. At 3 months, there was no vesico-ureteral reflux, no infection, no recurrence of the ureterocele. Discussion: It is a congenital malformation that affects several births. The etiology remains unknown, and the obstructive malformation theory is the most evoked. Its clinical symptomatology is non-specific. Its diagnosis is endoscopic, and the treatment is most often surgical depending on the type and its clinical presentation. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.
VL - 1
IS - 4
ER -

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Author Information

Smith Giscard Olagui

Urology and Visceral Service, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Dimitri Mbethe

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Christelle Mézene

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Adrien Mougougou

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Gloire Allogho Mbouye

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Mariette Nsa Bidzo

Urology Department, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Fatou SY-Moutsinga

Urology and Visceral Service, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Jean Placide Owono Mbouengou

Urology and Visceral Service, Military Instruction of Omar Bongo Ondimba Hospital, Faculty of Medicine, Urology Department University of Health Sciences, Libreville, Gabon
Eric Jacob Benizri

Urology Department of Nice, Nice Polyclinic, Surgery Department, Faculty of Medicine, University of Health Sciences, Nice, France

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APA Style

Smith Giscard Olagui, Dimitri Mbethe, Christelle Mézene, Adrien Mougougou, Gloire Allogho Mbouye, et al. (2022). Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. International Journal of Medical Case Reports, 1(4), 36-39. https://doi.org/10.11648/j.ijmcr.20220104.11

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ACS Style

Smith Giscard Olagui; Dimitri Mbethe; Christelle Mézene; Adrien Mougougou; Gloire Allogho Mbouye, et al. Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. Int. J. Med. Case Rep. 2022, 1(4), 36-39. doi: 10.11648/j.ijmcr.20220104.11

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AMA Style

Smith Giscard Olagui, Dimitri Mbethe, Christelle Mézene, Adrien Mougougou, Gloire Allogho Mbouye, et al. Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO. Int J Med Case Rep. 2022;1(4):36-39. doi: 10.11648/j.ijmcr.20220104.11

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@article{10.11648/j.ijmcr.20220104.11,
  author = {Smith Giscard Olagui and Dimitri Mbethe and Christelle Mézene and Adrien Mougougou and Gloire Allogho Mbouye and Mariette Nsa Bidzo and Fatou SY-Moutsinga and Jean Placide Owono Mbouengou and Eric Jacob Benizri},
  title = {Endoscopic Treatment of Ureterocele One Case at Military Hospital OBO},
  journal = {International Journal of Medical Case Reports},
  volume = {1},
  number = {4},
  pages = {36-39},
  doi = {10.11648/j.ijmcr.20220104.11},
  url = {https://doi.org/10.11648/j.ijmcr.20220104.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmcr.20220104.11},
  abstract = {Introduction: Ureterocele is a rare congenital malformation characterized by pseudo-cystic dilation of the lower extremity of the ureter. It is often discovered in neonates on antenatal ultrasonography which explains its rarity in adults and few publications concerning adult ureterocele. Its treatment is not unequivocal; it is indicated in the case of complicated or symptomatic ureterocele. Early decompressive treatment is advocated to reduce the risk of related renal and urinary tract damage. Endoscopic techniques of incision have been offered utilizing diathermic electrode. Observation: We report the clinical case of a 39-year-old man suffering from chronic low back pain not relieved by medical treatment. The ultrasound performed shows signs of ureteral obstruction of bladder origin. The cystoscopy made it possible to make the diagnosis of a voluminous right ureterocele, which will be treated by transurethral incision at the diathermic loop. The post-operative follow-up was simple. At 3 months, there was no vesico-ureteral reflux, no infection, no recurrence of the ureterocele. Discussion: It is a congenital malformation that affects several births. The etiology remains unknown, and the obstructive malformation theory is the most evoked. Its clinical symptomatology is non-specific. Its diagnosis is endoscopic, and the treatment is most often surgical depending on the type and its clinical presentation. Conclusion: The adult ureterocele is a rare entity, which must be recognized quickly in order to limit the serious consequences on the upper tract. diagnosis must be early. Its treatment is endoscopic, and vesico-ureteral reflux is the most frequent complication.},
 year = {2022}
}

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