Bilateral Single System Orthotopic
Ureterocele with Bilateral Multiple
Calculi Presented with Retention of
Urine - an Urological Emergency
PD01-PD02
Correspondence
Dr. Rupesh Gupta,
Senior Resident, Department of Urology, R G Kar Medical College and Hospital, Khudiram Bose Sarani,
Shyaam Bazar, Kolkata, West Bengal - 700 004, India.
E-mail: drrupesgupta@gmail.com
The ureterocele is an uncommon congenital anomaly of the lower ureter. Ureterocele with a single pelvicalyceal system, bilateral, and orthotopic variety is less common. Calculi within bilateral ureterocele are a rare occurrence. To the best of our knowledge, only a few similar cases have been reported in the literature. Among the all reported presentations of this type of ureterocele, presentation with Acute Urinary Retention (AUR) has not been described in the literature. We present a case of nine-year-old child having bilateral, single system orthotopic ureterocele with calculi in bilateral ureterocele and presented with AUR due to obstructive bulbar urethral calculus. The bilateral endoscopic incision was given and all four calculi were removed endoscopically through percutaneous route. Voiding cystourethrography after two years follow-up was non-refluxing. The purpose of reporting this case is the rarity of the disease and to emphasize that delay in diagnosis and treatment of these cases may lead to complications such as recurrent urinary tract infection and renal failure.