Vite-Velázquez EJ, Venegas-Ocampo PJJ, Robles-Scott MA, Ochoa-Vázquez TN, Morales-García A, Macedo-González AJ

Language: Spanish
References: 10
Page: 292-294
PDF size: 203.36 Kb.

ABSTRACT

Hutch periureteral diverticulum is an unusual congenital entity occurring on or adjacent to the ureteral hiatus and is associated with reflux and ureteral obstruction in the majority of cases. It is more common in boys than in girls and is rarely found in adults.
Its clinical manifestations are varied, from renoureteral colic to inferior extremity cyanosis. A variety of results have been shown with conservative treatment and with open surgery using different techniques. The case of a 32-year old male patient is presented here. The patient manifested intermittent bilateral renoureteral colic as well as slight to moderate storage and emptying symptomatology of several years’ progression. Large periureteral diverticula with no reflux were found in the study protocol. Urodynamic study revealed infravesical obstruction and increased bladder capacity. Patient did not respond favorably to medical treatment and so diverticulectomy with transurethral incision of the prostate and open bilateral reimplant was carried out. Postoperative progression was satisfactory. Bladder capacity and residual urine were reduced and initial symptomatology disappeared.

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