Ureteroceles

The male urinary system consists of the kidneys, ureters, bladder, and urethra. The kidneys filter blood, removing waste products and excess fluid. The ureters are thin tubes, about 25–30 cm long, connecting the kidneys to the bladder, which stores urine. The male urethra is longer than the female urethra and passes through the prostate and penis.

The process of urination begins when the bladder fills. Once a certain volume of fluid is reached, the bladder walls contract, allowing urine to exit the body without obstruction.

Ureterocele (an abnormal enlargement of the urethra) is a pathological condition caused by various factors. A portion of the ureter bulges outward, forming an internal sac-like structure. At the same time, the ureter’s lumen narrows, making urination difficult.

This condition can lead to various disorders in the urinary system, including:

1. Difficult urination. Patients experience a weak urine stream, a sensation of incomplete bladder emptying, and an increased need for frequent urination.
2. Urinary tract infections. Stagnant urine creates a favorable environment for the growth of harmful microorganisms.
3. Chronic pain syndrome. Ureterocele can cause dull pain in the lower back and abdomen, which worsens with physical activity. This significantly affects quality of life and requires timely medical attention at “New Life” Clinic.
4. Blood in the urine. This may indicate serious complications.
5. Kidney dysfunction. In some cases, tissue damage occurs due to excessive pressure on the organs.

In its early stages, the disease often goes unnoticed. Access to quality medical care can prevent severe complications and ensure successful recovery.

The causes of this pathology are classified into several groups. Anatomical abnormalities are present from birth and include ureteral narrowing (stenosis), underdevelopment, or enlargement. Such anomalies may sometimes be detected incidentally. Genetic predisposition is also a factor, as individuals with a family history of urinary system disorders may be more prone to developing ureterocele.

Acquired causes include:

• Chronic kidney diseases. Inflammatory and infectious processes disrupt normal ureter function.
• Trauma and surgical interventions. These can alter tissue structure and affect organ shape.
• Presence of tumors. Both malignant and benign growths can exert pressure on the ureters.
• Increased abdominal pressure. Risk factors include obesity and chronic constipation.

If you experience discomfort or impaired urinary function, visit “New Life” Medical Center for a comprehensive health assessment.

Early detection is crucial for timely treatment and the prevention of complications. Physicians use a comprehensive diagnostic approach that includes:

1. Medical history review and physical examination. The specialist identifies risk factors, and patients should provide information about past illnesses and surgeries.
2. Ultrasound examination. A non-invasive and informative method that provides detailed images of the organs and evaluates tissue conditions. Ultrasound can detect ureteral enlargement and other signs of ureterocele. Treatment is selected based on clinical severity.
3. X-ray with contrast. Recommended for a more detailed study of structures. This method helps diagnose strictures and other abnormalities.
4. Laboratory tests of blood and urine. These help determine the presence or absence of infections.
5. Cystoscopy. A procedure that examines the inner surface of the urethra and bladder using a cystoscope inserted through the urethra. It helps detect early-stage abnormalities.

At “New Life” Clinic, this comprehensive diagnostic approach ensures an accurate diagnosis and immediate treatment planning.

Treatment options depend on the severity of the condition and the presence of associated diseases. In some cases (when symptoms are mild and no complications are present), conservative treatment is recommended. This approach includes:

• Medication therapy. Certain medications improve bladder function, reduce inflammation, and treat underlying infections.
• Lifestyle modifications. Patients with ureterocele are advised to manage weight, avoid heavy physical exertion, and limit alcohol and caffeine consumption.

Regular visits to a urologist are essential, especially for men with chronic conditions. A physician can detect abnormalities early and recommend appropriate treatment. Preventive check-ups should be conducted annually.

In severe cases, surgery may be required. Surgical intervention is necessary if conservative treatment fails or complications develop (such as kidney failure or complete urinary retention). Ureterocele surgery may involve:

1. Ureteral reconstruction to correct the enlargement
2. Elimination of strictures and other abnormalities
3. Placement of a stent to maintain urinary tract patency

Postoperative monitoring is crucial to ensure patient recovery. Surgery should be performed by experienced specialists. The medical professionals at “New Life” Medical Center are members of various national and international medical associations and perform surgical procedures of all complexities.

The clinic offers a modern approach to prevention and treatment, featuring:

• Highly qualified staff
• Consultations with international specialists
• A wide range of medical services
• Commitment to high-quality results

To schedule a consultation, fill out the online form on our website. You can also call the provided contact numbers or reach out via messenger (see the “Contacts” section).