Paediatric Right Ureterocele Presenting with Urinary Obstruction: A Case Report

Ureterocele is a congenital urological defect involving the dilatation of the distal part of the ureter. This swelling can block the normal flow of urine, sometimes causing symptoms like abdominal pain, frequent urinary tract infections, or difficulty urinating. However, it can be asymptomatic in some patients. If left untreated, ureterocele can lead to serious problems with the urinary system, including kidney damage or even life-threatening complications. It is more commonly observed in females compared to males and can affect either a single ureter or both. The present case report involves a 4-month-old male infant with an antenatal diagnosis of right hydroureteronephrosis. He presented with fever and urinary retention. Clinical and radiological evaluation led to a diagnosis of right ureterocele, which was confirmed by Computed Tomography (CT) urography. He was successfully managed with endoscopic incision of the right ureterocele and Double-J (DJ) stenting. The 30-day follow-up showed resolved hydronephrosis, normal voiding, and no new urological complaints. The present case report highlights the importance of early diagnosis and suitable surgical management of ureteroceles in male children through endoscopic incision and DJ stenting. Timely diagnosis and intervention can yield favorable outcomes by resolving hydronephrosis and preventing long-term renal damage.