Often the question arises of what it is - ureterocele in women. A photo of the disease is not attached for ethical reasons. Ureterocele is a disease associated with the overlap of the bladder and urinary canal with swollen venous areas and tissue deposits - tumors, cysts. This phenomenon is more often congenital in nature and is classified as an anomaly in the development of the genitourinary system.
Reasons
What is included in the list of minor and pathological anomalies in the development of MPS:
- Narrowing of the mouth of the ureter, provoked by the influence of intrauterine infection or other adverse factors.
- Elongation of the intramural ureter. It develops against the background of taking strong medications.
- Loss or lack of muscle fibers in the middle urinary tract.
- Violation of the contractile function of the organs of the genitourinary system.
- Change in the structure of the bladder.
To acquired disordersurination process can be attributed to:
- Prolapse of the uterus.
- Strain of the walls of the ureter as a result of a large load on the ligamentous apparatus. Occurs when lifting and transporting heavy objects, sports loads.
- Hydronephrosis - stagnation of urine in the renal pelvis.
- Violation of vascular tone.
Symptoms
Ureterocele of the bladder in women is a disease associated with urinary retention due to an anatomical defect of the urinary tract, or rather, as a result of bulging of the veins of the intravesical space of the ureter. Diagnosing this condition is quite difficult, but thanks to the collection of anamnestic data and screening studies, the ureterocele is easily differentiated from other diseases of the genitourinary system. The most frequent and characteristic complaints of patients with this diagnosis are:
- Discomfort when urinating.
- Drawing pains in the lower abdomen.
- Urine color changes from dark yellow to dark brown, sometimes even maroon with a cloudy sediment.
- Shooting in the lumbar area.
- Increase in body temperature without visible colds.
- Discomfort or pain in the perineum.
- Spasms and backaches when changing body position.
When the urinary tract is completely closed, patients show signs of intoxication:
- nausea, vomiting, discoloration of the skin;
- bellyincreases in size;
- a foul-smelling purulent discharge of bright green color appears.
The body temperature at the same time is in an abnormally high range of 39.5-40 degrees, antipyretic drugs have no effect or bring down the temperature for a short time.
Diagnosis
Diagnostic measures to establish a ureterocele include several main steps:
- Collecting anamnestic data. The specialist carefully studies the medical history, trying to find the factors that provoked the development of such a complex pathology.
- External inspection. With inflammation of the genitourinary system, redness and swelling of the genital organs are pronounced. The interior of the vagina also shows clear signs of inflammation.
- Palpation. The condition of the female genital organs, ureters, kidneys is checked.
- Lab diagnostics:
- General clinical analysis of blood and urine.
- Urine bacterial culture.
- Biochemical blood test.
Hardware examination of the pelvic organs, kidneys:
- X-ray with a special contrast agent. The contrast agent is a dye of natural origin. It is injected through a syringe into the venous system near the affected area. Thus, the place of the greatest accumulation of negative substances - toxins, adhesions and other pathological changes in the patient's body become very clearly visible on the x-ray.
- Ultrasound of the kidneys, bladder. A photo of a ureterocele in women on ultrasound can be seen above.
- Cystography and cystoscopy - the use of high-precision instruments to collect analytical data on the degree of damage to the genitourinary system.
Ureterocele surgery for women
As a rule, such a pathology of the urinary tract as ureterocele is a congenital anomaly, in some cases, the ureterocele is formed due to blockage of the ureter during urolithiasis. In both cases, such a condition, in the absence of timely medical care, can lead to acute inflammatory processes and chronic diseases of the kidneys and bladder (for example, cystitis, urolithiasis, pyelonephritis). To date, in medical practice, only a surgical method is used to treat ureterocele. It is important to note that the decision on surgical intervention is made by the attending urologist after a thorough diagnosis.
After the operation is scheduled for the patient, a therapeutic course of antibiotics is carried out. This will help minimize the development of inflammatory processes in the postoperative period.
The complexity, volume and scale of surgical intervention depend on the size of the ureterocele, the degree of development of the disease.
Transurethral puncture
If the pathology has not led to the development of pathological irreversible processes in the kidney and bladder, then such treatment of ureterocele inwomen, as a transurethral puncture. Such surgical intervention, as a rule, is carried out on an outpatient basis, without referring the patient to the hospital. The advantage of this method is that traumatic surgical incisions are not made, a medical cystoscope is inserted through the female urethra into the ureter, the ureterocele is cut and the contents are pumped out. The whole procedure takes no more than half an hour, and postoperative recovery is quick and without serious complications.
Endoscopic electroincision
To remove the ureterocele in more advanced stages in a hospital, a surgical intervention is performed - endoscopic electroincision. This is the most modern method of removal (excision) of a medium-sized ureterocele with the simultaneous formation of the mouth of the ureter. Such an operation is performed using endoscopic scissors or a galmium laser.
Laparoscopy
One of the commonly used surgical methods in urology is laparoscopy. It is carried out, for example, if, due to the ureterocele, pathological processes have spread to the kidneys (its functionality is impaired). In case of partial damage to the kidney, an upper lobe nephrectomy is performed, and in the case of a complete lesion, the entire organ is removed.
Open Operations
Open abdominal operations on the ureters are rarely performed today, since abdominal incisions significantly slow down and complicate rehabilitation. In addition, to prevent rupture of the sutures in the ureter, it is necessary to use an insertedinternal catheter, which gives a woman a lot of inconvenience. In the postoperative period, in order to prevent the development of inflammatory processes, an antibacterial course is recommended. It is important to note that, despite the forms and stages of the ureterocele, this pathology has good prognosis with timely surgical correction.
Folk remedies
Any problems in the genitourinary system can not only greatly impair the patient's quality of life, but also provoke many complex diseases that are difficult to treat. The cystic sac that appears with this disease causes constant urinary retention, but the patient may, at the same time, feel frequent urges. The danger of this disease lies in the fact that it gradually develops, new, more unpleasant symptoms appear, and after a while the patient may feel more pain.
I would like to immediately warn that this disease is treated only in two main ways, one of which is medical, and the second is surgical. The choice of one or another method of treatment will naturally depend on the condition of the patient, as well as on what stage of development the ureterocele is at.
As for folk remedies, it is impossible to cure this disease of the genitourinary system with their help, you can only relieve pain and some unpleasant symptoms. Moreover, before using certain medicinal herbs for the treatment of ureterocele with folk remedies, it is necessary to consult a doctor.
Linden decoction
With thisfolk soft remedy that does not have side effects, you can eliminate pain, pain and constant burning with ureterocele. To prepare a healing infusion, pour lime blossom (two tablespoons) into a saucepan, pour boiling water (540 ml), then cook the mixture over low heat until it boils, continue cooking for another ten minutes. As soon as the linden decoction is completely ready, cool it, then strain and consume half a glass in the evening.
Freshly squeezed parsley juice
From fresh parsley you need to squeeze the juice, then dilute it with drinking warm water in a ratio of 1:1. Use this healing remedy should be three times a day for half a glass. There are many reviews about the treatment of ureterocele in women, and they are all different. Therefore, first of all, you should visit a specialist so that he prescribes the necessary therapy.
Consequences
Ureterocele is often diagnosed from birth, but there are also situations of rather late development. The disease progresses, and a tubercle forms on the affected part, which narrows the mouth of the ureter. A protrusion in the form of a cyst or a ball harms the mucous membrane. Ultimately, chronic pyelonephritis is provoked and the excretory function is destroyed. Pathology can threaten with negative consequences:
- Hydronephrosis (expansion of the pelvicalyceal system).
- Atrophy. Scars begin to appear on the tissues, and subsequently urine ceases to be synthesized.
- Bleeding appears.
- Kills may form in the excretory tract.
- Pathology can cause kidney failure (s alt and water metabolism is disturbed).
- Cystitis, which causes pain after urination.
- Arterial hypertension. Blood pressure rises and remains at the level, moreover, it is difficult to treat.
- The disease can cause inflammation in the kidneys.
Treatment involves the complete removal of an organ or its reconstruction. Before performing an operation, it is imperative to carry out a procedure for eliminating pathogenic microbes in the urinary system.
