I had a recent renal ultrasound (S/P kidney cancer 1999) that showed the following finding: "In the left portion of the bladder near the ureterovesical junction there is a cystic appearing lesion which is not fully characterized." Could this be a ureterocele? If so, what are the implications of having it treated or not treated? Thanks in advance for your response.
A cystic lesion on sonogram near the UV junction is likely to be a ureterocele.
It can be confirmed by an intravenous urogram and/or cytscopy. Some ureteroceles can be associated with obstruction, stones or infections. Some stones at the UV junction are associated with (pseudo)ureteroceles, which can regress on their own after the stone is removed.
Ureteroceles are treated in various ways. Endoscopic deroofing is a common form of treatment. After deroofing some patients can develop reflux.
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