Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Urology. 2011 Oct;78(4):782-3. doi: 10.1016/j.urology.2010.12.047. Epub 2011 Feb 18.
25-year-old previously healthy male presented with dysuria and bilateral flank pain. Abdominal radiography and computed tomography revealed bilateral orthotopic ureteroceles with significant calculi. Bilateral endoscopic ureterocele incision and ureteroscopy were used for complete stone clearance. Symptoms resolved after treatment, and follow-up voiding cystourethrogram performed at 3 months revealed no evidence of vesicoureteral reflux. Adult orthotopic bilateral ureteroceles with calculi is a rare clinical entity amenable to endoscopic management.
一位 25 岁既往健康的男性患者以尿痛和双侧腰痛为主要表现。腹部 X 线平片和 CT 显示双侧正位输尿管囊肿伴多发结石。双侧内镜下输尿管囊肿切开术联合输尿管镜碎石术用于彻底清除结石。治疗后症状缓解，3 个月后复查排尿性膀胱尿道造影未见膀胱输尿管反流。成人正位双侧输尿管囊肿伴结石是一种罕见的临床疾病，可采用内镜治疗。
