Utility of retrograde ureterocelogram in management of complex ureterocele

While not indicated in routine ureterocele management, intraoperative RUC further defined ureterocele anatomy in nearly all cases and yielded changes to the original surgical plan frequently enough to merit greater use in complex patients.79Figure. Example of RUC to illustrate complex ureterocele anatomy. In a 6-week-old febrile male with a right renal mass and grade IV VUR, RUC was performed to clarify the anatomy concomitant with a planned right nephrectomy. RUC revealed an ectopic right ureter and ureterocele, which appeared to have ruptured and opened into the posterior wall of the prostatic urethra. This did not change the nephrectomy but provided valuable reference for subsequent lower tract interventions.