Abstract
To assess efficacy of Extracorporeal Shock Wave Lithotripsy (ESWL) about treatment of urolithiasis with ureterocele.
Materials and Methods
From January 1998 to July 2003, we have treated 6 adult patients (4 women and 2 men) with urolithiasis linked to ureterocele with mean age 35.8 years (range between 24–49 years). The patients showed dysuria, and pain during advanced stage of miction. The diagnosis of ureterocele was based by ultrasound and intravenous urography. The ureterocele appeared monolateral in 5 patients and bilateral in 1 patient. The stone is been treated with Extracorporeal Shock Wave Lithotripsy (4000 shocks; 9Kj), in mean 2 applications for patient.
Results
In 4 patients we have assessed breaking stone with expulsion of chips. In 2 patients, after treatment with ESWL, we have proceeded to extract the stone by endoscopic view, by small cut (“smile cut”) on ureterocele wall. Reflux was not present in these 2 patients after smile cut.
Conclusions
In patients with urolithiasis and ureterocele is recommended to perform a treatment of ESWL, that proved to be effectiveness, allowed by patients and without collateral effects.
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