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June 23, 1945

COMPLETE URETERAL DUPLICATION TERMINATING IN THE SAME URETEROCELE AND RESULTING IN SEVERE HYDRONEPHROSIS

JAMA. 1945;128(8):588-589. doi:10.1001/jama.1945.92860250001009
Abstract

Of all the congenital abnormalities of the urinary tract, ureteroceles are among the most amenable to successful surgical treatment.

As reported by Thompson and Greene,1 the majority of ureteroceles are congenital in origin, occur twice as frequently among women as they do among men, are most reliably diagnosed by cystoscopy and are best treated transurethrally by simple fulguration of the small ureteral orifice or a combination of ureteromeatotomy and fulguration of the walls of the ureterocele. These authors recognized that the presence of destroyed renal function or urinary calculi which could not be removed transurethrally necessitated open operation. While in the case that we are reporting there were features characteristic of moderate obstruction of the vesical neck, such as pronounced dysuria, a large atonic bladder, urographic evidence of a left nonfunctioning kidney and pyeloureterectasis of the other kidney and ureter, there have been numerous cases in which the ureterocele prolapsed

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