Printer Friendly VersionEmail A FriendAdd ThisIncrease Text SizeDecrease Text Size

Ureterocele

 

Definition

A ureterocele is swelling in one of the tubes (ureters) that carry urine from the kidney to the bladder. The swelling can block urine flow.

A ureterocele is a birth defect.

Causes

A ureterocele occurs in the lower part of the ureter, where the tube enters the bladder. The swelling prevents urine from moving freely into the bladder. The urine collects in the ureter and stretches its walls, blowing it up like a water balloon.

Ureteroceles occur in about 1 in 500 to 1 in 4,000 people. Caucasians are most likely to be affected. Ureteroceles are equally common in left- and right-side ureters.

Symptoms
Signs and tests

Large ureteroceles are usually diagnosed earlier than smaller ones. A ureterocele may be discovered before the baby is born (during a pregnancy ultrasound).

Some people with ureteroceles do not know they have the condition. Often, the diagnosis is made later in life due to kidney stones.

A urinalysis may reveal blood in the urine or signs of urinary tract infection.

The following tests may be performed:

Blood pressure may be high if there is kidney damage.

Support Groups

Expectations (prognosis)

The outcome varies. If the obstruction can be cured, the damage may be temporary. However, damage to the kidney may be permanent, especially if the condition doesn't go away.

Kidney failure is uncommon because the other kidney usually continues to work as normal.

Calling your health care provider

Call your health care provider if you have symptoms of ureterocele.

Complications
  • Permanent bladder damage (incontinence/urinary retention)
  • Permanent kidney damage, with a decrease or loss of function (one kidney)
  • Urinary tract infection that keeps coming back
Treatments

Antibiotics such as ampicillin or Bactrim are usually given to prevent further infections until surgery can be done.

The goal of treatment is to get rid of the blockage. Drains placed in the ureter or renal area (stents) may provide short-term relief of symptoms.

Surgery to repair the ureterocele usually cures the condition. Surgery involves making a cut into the ureterocele ("popping the water balloon") or removing the ureterocele and reattaching the ureter to the bladder. Which surgery is performed depends on the severity of the blockage.

Prevention

References

Schlussel RN, Retik AB. Ectopic ureter, ureterocele, and other anomalies of the ureter. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 116.

Guay-Woodford LM. Hereditary nephropathies and abnormalities of the urinary tract. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 129.


Review Date: 9/7/2008
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2009 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
MAIMONIDES
MEDICAL CENTER


Home Page
Why Choose Us
Donations
Website Terms of Use
PATIENT
INFORMATION


Visitor & Patient Info
Patient Portal
We Speak Your Language
Patient Privacy
Contact Us
KEY
INFORMATION


Find a Physician
Medical Services
Maimonides In the News
Directions & Parking
FOR HEALTH
PROFESSIONALS


Medical Education
Career Opportunities
Nurses & Physicians
Staff Intranet Access
Maimonides Medical Center    |    4802 Tenth Avenue    |    Brooklyn, NY 11219    |    718.283.6000    |