A ureterocele is a swelling at the bottom of one of the tubes (ureters) that carry urine from the kidney to the bladder. The swollen area can block urine flow.
A ureterocele is a birth defect.
Causes, incidence, and risk factors
A ureterocele occurs in the lower part of the ureter, where the tube enters the bladder. The swollen area 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.
A ureterocele can also cause urine to flow backward from the bladder to the kidney. This is called reflux.
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.
- Back pain, possibly only on one side
Blood in the urine
- Burning pain while urinating (
- On one side
- May travel or radiate to the groin, genitals, thigh
- Foul-smelling urine
Frequent and urgent urination
- Lump (mass) in the abdomen that can be felt
- Ureterocele tissue falls down (prolapse) through the female urethra and into the vagina
Urinary incontinence Urinary tract infection
Signs and tests
Large ureteroceles are usually diagnosed earlier than smaller ones. A ureterocele may be discovered before the baby is born (during a
Some people with ureteroceles do not know they have the condition. Often, the diagnosis is made later in life due to
The following tests may be performed:
CT scan of the abdomen
Cystoscopy(examination of the inside of the bladder)
Radionuclide renal scan
Blood pressure may be high if there is kidney damage.
Antibiotics 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
Surgery to repair the ureterocele usually cures the condition. Surgery involves making a cut into the ureterocele or removing the ureterocele and reattaching the ureter to the bladder. The type of surgery depends on your age, overall health and severity of the blockage.
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.
Permanent bladder damage (incontinence/urinary retention)
kidney damage, with a decrease or loss of function (one kidney)
- Urinary tract infection that keeps coming back
Calling your health care provider
Call your health care provider if you have symptoms of ureterocele.