AU - Muhammed, Ahmed AU - Hussaini, Maitama AU - Ahmad, Bello AU - Hyacinth, Mbibu AU - Garba, Kalayi TI - Ureterocele in adults: Management of patients in Zaria, Nigeria PT - ORIG DP - 2012 Jan 1 TA - Archives of International Surgery PG - 24-28 VI - 2 IP - 1 4099- https://www.archintsurg.org/article.asp?issn=2278-9596;year=2012;volume=2;issue=1;spage=24;epage=28;aulast=Muhammed;type=0 4100- https://www.archintsurg.org/article.asp?issn=2278-9596;year=2012;volume=2;issue=1;spage=24;epage=28;aulast=Muhammed AB - Background: Ureterocele is a cystic dilatation of the distal ureter. It remains a rare urologic condition in non-Caucasians and is even less common in adults. Single-system ureteroceles are usually found in adults, and thus the name "adult" ureterocele. Though uncommon, urologists practicing in this region should be acquainted with the management. Materials and Methods: A retrospective review of folders of 10 adult patients who were admitted for surgical treatment of ureterocele in our center between 2000 and 2009 was done. The information obtained included: age, sex, type and number of ureterocele, associated disease, type of surgical intervention, complications, and follow-up. Results: The age range was 20-49 years, with a mean age of 31 years. Of these patients, seven were females and three were males. Six patients had unilateral ureterocele while four had bilateral disease, making a total of 14 ureteroceles. The presenting symptoms were flank pain and painful micturition, each occurring in 60% of the patients. Genitourinary tuberculosis was diagnosed in 4 (40%) patients. Other associated pathologies were impacted stone in the ureterocele and vesical schistosomiasis. The treatment was mainly by open method (70%), while the rest had endoscopic treatment. All the patients did well and there were no significant perioperative complications. Conclusion: The finding of associated pathology in our patients supports the theory of an acquired origin. Urologists practicing in this region need to have a high index of suspicion and be acquainted with the variable clinical presentations, radiographic features, and treatment options in order to be able to effectively manage these occasional cases.