Ureterocele

Access exceptional care for ureteroceles at Montefiore Einstein Urology at the Children’s Hospital at Montefiore Einstein (CHAM). As a leader in urology, we are an academic-based referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.

Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of specialists is passionate about uncovering diagnostic approaches and treatments that can improve outcomes.

At Montefiore Einstein Urology, you can expect compassionate research-based treatment plans that meet the highest standards for quality and safety. We are committed to ensuring your child will receive the best patient- and family-centered care in a supportive and nurturing environment.

When you want only the best for your child, turn to our dedicated providers who will develop a highly personalized treatment plan.

What Is a Ureterocele?

A ureterocele is a congenital abnormality in which the end of the ureter (the tube connecting the kidney to the bladder) becomes swollen or bulges into the bladder. This condition can obstruct urine flow, leading to complications such as infections or kidney damage. Ureteroceles may vary in severity, from mild cases with minimal symptoms to severe cases that require medical intervention.

Causes of Ureteroceles

The exact cause of ureteroceles is unknown. However, it is thought to result from developmental abnormalities during fetal growth, where the valve between the ureter and bladder does not form correctly.

Signs & Symptoms of Ureteroceles

The symptoms of ureteroceles vary based on the severity of the condition. While some individuals may remain asymptomatic, others can experience abdominal distension or pain, blood in the urine, difficulty or painful urination and recurrent urinary tract infections (UTIs). Symptoms of UTIs often include fever, foul-smelling urine, frequent urination and urinary incontinence. In severe cases, ureteroceles may lead to kidney damage or vesicoureteral reflux, where urine flows backward into the kidneys, causing additional complications.

Diagnosing Ureteroceles

Ureteroceles are often detected during prenatal ultrasounds. After birth, they may be diagnosed when secondary conditions, such as UTIs or urinary obstruction, prompt further investigation. Common diagnostic tools include:

  • Voiding cystourethrogram (VCUG): a specialized X-ray that tracks the flow of urine to identify abnormalities
  • Magnetic resonance imaging (MRI): used to provide detailed images of the urinary system to assess the severity and location of the ureterocele

Treating Ureteroceles

Treatment for ureteroceles depends on the severity of the condition and associated symptoms. Options include:

  • Observation: For mild cases, regular monitoring may suffice.
  • Antibiotics: prescribed to treat and prevent urinary tract infections
  • Surgical Intervention: For severe cases, procedures to puncture or remove the ureterocele may be recommended to restore normal urinary flow and prevent complications.