Prolapsed cecoureterocele presented as  prenatal  genital mass: a urological challenge

Méndez-Gallart, Roberto; Estevez-Martinez, Elina; Rodríguez-Barca, Pablo; García-Palacios, María; Casasnovas, Adolfo Bautista

doi:10.5489/cuaj.497

Cited by 10 publications

(9 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There are two reported cases on the prenatal diagnosis of prolapsed ureterocele. In one case, similar to ours, a ureterocele was diagnosed in a female fetus at 29 weeks' gestation as a thin‐walled cystic mass within the bladder that extended through the urethra and later evolved outwards between the fetal labia. In another case, a perineal cystic mass associated with right ureteral duplication and ipsilateral hydronephrosis was observed as a prenatal ultrasound finding.…”

Section: Discussionsupporting

confidence: 65%

Fetoscopic laser surgery to decompress distal urethral obstruction caused by prolapsed ureterocele

Montebruno

Martínez

Eixarch

et al. 2015

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

CASE REPORTA 36-year-old primigravida with an unremarkable medical history was referred to our center at 25 + 3 weeks' gestation. At 21 weeks, she had been diagnosed with a fetal intravesical ureterocele associated with right renal duplication and progressive bilateral hydronephrosis, which was visualized in consecutive scans (Figure 1). Fetal karyotype was normal (46,XX). Because of progressive megacystis, due to urethral obstruction with bilateral hydronephrosis, associated with increasing oligohydramnios, referral for evaluation for fetal therapy was recommended. Ultrasound evaluation at admission confirmed severe bilateral hydronephrosis with pelvic and calyceal dilatation. Surprisingly, the amniotic fluid index (AFI) was within normal range and the cystic mass could not be visualized in the bladder. In fact, the bladder was normal in size with hypertrophic walls. The cystic mass was located between the labia of the vulva and was seen connecting with the bladder in an hourglass shape (Figure 2 and Videoclip S1). A full anatomical survey and detailed echocardiography were performed, excluding associated anomalies. Fetal growth was within the normal range for gestational age and location of the placenta was posterior.A presumptive diagnosis of prolapsed ureterocele causing intermittently severe obstruction of the urethra was suggested. Although AFI was normal at this time, oligohydramnios had been observed previously (Figure 1). Given the early gestational age and the unpredictable

show abstract

Section: Discussionsupporting

confidence: 65%

Fetoscopic laser surgery to decompress distal urethral obstruction caused by prolapsed ureterocele

Montebruno

Martínez

Eixarch

et al. 2015

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

show abstract

“…In paediatrics, the diagnosis of a ureterocoele is usually made now during routine antenatal ultrasonography, at which point an associated urinary anomaly would be visualised such as an upper pole cyst which may be dysplastic and later managed with an upper pole heminephrectomy 6. Interestingly with our patient, the diagnosis was also made during an antenatal scan; however, this was a diagnosis of an anomaly within the maternal bladder rather than a finding within the fetal bladder.…”

Section: Discussionmentioning

confidence: 77%

Case of acute severe postpartum urinary incontinence: an extravesical subsphincteric prolapsed ureterocoele

Seth¹,

Walker

2018

BMJ Case Reports

View full text Add to dashboard Cite

A 32-year-old woman presents to outpatients 10 days postpartum, with symptoms of an intermittent vaginal lump and urinary incontinence. Vaginal examination revealed no demonstrable prolapse or stress incontinence. A swelling in the bladder was noted during an antenatal scan suggesting a ureterocoele. She was referred for pelvic floor physiotherapy in the first instance. Forty-eight hours later, she represented to casualty with discomforting vaginal lump symptoms and continuous urinary incontinence. At this stage on vaginal inspection, there was an evident dusky lump emerging from the urethra with continuous incontinence. An extravesical subsphincteric prolapsed ureterocoele was evident, 5 cm beyond the external urethral meatus. The diagnosis was confirmed with an MRI scan which demonstrated the prolapsed obstructing ureterocoele causing significant left-sided hydroureteronephrosis. The ureterocoele was managed with a cystoscopy and transurethral incision of the ureterocoele under anaesthesia, which facilitated drainage and resolution. At 3-month postoperatively, the patient remains continent and satisfied.

show abstract

“…Since a prolapsed cecoureterocele, especially in adults, is a highly rare condition, it is rather difficult to give an evidence-based recommendation upon its treatment. The primary goal however should always be the prevention of complications such as loss of renal function, recurrent urinary tract infections, and urinary incontinence [ 5 ]. Due to the anatomically complex situations which have to be faced, when treating a patient suffering from a ureterocele, gaining diagnostic clearance of these circumstances should always be the first step in approaching the patient's treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In cases of blindly ending ureters, hypoplastic renal segments, which are drained by the ectopic ureter, or infrasphincteric ureteral orifices, a surgical approach such as heminephrectomy and ureterectomy is largely considered to be the first-line therapy [ 3 , 5 ]. Another approach for less complicated ureteroceles without a duplex pelvic system or hypoplastic renal segments is the endoscopic deroofing and DJ-stenting of the ureterocele [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A Prolapsed Cecoureterocele in an Adult Treated Conservatively: Highly Rare, but Existent

Löcherbach

Preusser

Mark

2016

Case Reports in Urology

View full text Add to dashboard Cite

Ectopic ureteroceles are one of the most common human urinary tract anomalies. They tend to be recognized and treated in early childhood, especially when they have prolapsed. In most cases surgical therapy is inevitable. In this case report, however, we present the unusual case of a 26-year-old woman suffering from a prolapsed cecoureterocele without any known history of an ectopic ureterocele so far. She was successfully treated without the need for a surgical procedure.

show abstract

Prolapsed cecoureterocele presented as prenatal genital mass: a urological challenge

Cited by 10 publications

References 11 publications

Fetoscopic laser surgery to decompress distal urethral obstruction caused by prolapsed ureterocele

Fetoscopic laser surgery to decompress distal urethral obstruction caused by prolapsed ureterocele

Case of acute severe postpartum urinary incontinence: an extravesical subsphincteric prolapsed ureterocoele

A Prolapsed Cecoureterocele in an Adult Treated Conservatively: Highly Rare, but Existent

Contact Info

Product

Resources

About