Diagnosis and management of incidental ureterocele during the treatment of clinically localized prostate cancer

• Published in: World journal of urology Vol. 18; no. 6; pp. 444 - 448
• Main Authors: LEVENTIS, Angelos K, MILES, Brian J, GONZALES, Edmond T, SLAWIN, Kevin M
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.12.2000; Berlin Springer Nature B.V; New York, NY
• Subjects: Adenocarcinoma - complications; Adenocarcinoma - diagnostic imaging; Adenocarcinoma - surgery; Biological and medical sciences; Constriction, Pathologic; Humans; Male; Medical sciences; Medical treatment; Middle Aged; Prostate cancer; Prostatectomy; Prostatic Neoplasms - complications; Prostatic Neoplasms - diagnostic imaging; Prostatic Neoplasms - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Tomography, X-Ray Computed; Ultrasonography; Ureterocele - complications; Ureterocele - diagnosis; Ureterocele - diagnostic imaging; Ureterocele - surgery; Urologic Diseases - etiology; Sonography; Human; Adenocarcinoma; Urinary system disease; Prostate disease; Ureterocele; Ureteral disease; Exploration; Male; Malignant tumor; Urinary tract disease; TNM-System; Case study; Plasty; Treatment; Surgery; Echography; Adult; Prostatectomy; Diagnosis; Male genital diseases; Prostate
• ISSN: 0724-4983; 1433-8726
• DOI: 10.1007/s003459900080

Two instances of simultaneous diagnosis of prostate cancer and ureterocele were recently identified. In one patient an ectopic ureterocele in a duplex system with an obstructed upper pole was unroofed at the time of radical prostatectomy. Surgical excision of the ureterocele wall provided decompression of the obstructed system. In a second patient, bilateral intravesical ureteroceles associated with normal renal units were left untreated. Complications were not associated with the untreated ureteroceles. On rare occasions a ureterocele may be discovered incidentally during the evaluation of patients with prostate cancer. When radical prostatectomy is planned, treatment of the ureteroceles should be determined by the ureterocele's size, anatomic configuration, and location and by the degree of obstruction of the affected renal unit. Surgical excision of the ureterocele at the time of radical prostatectomy may be the best approach for patients requiring treatment.