Adult megacystis–megaureter: a case report

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Introduction: Megacystis-megaureter is a rare condition referring to chronic dilatation of the ureter in the absence of identifiable organic obstruction. It is rare in adulthood. Case presentation: We report a rare case of megacystis-megaureter presenting for the first time in adulthood. The patient exhibited symptoms of obstructive uropathy, with preserved renal function following decompression. The patient was managed conservatively. Case discussion: Intravenous pyelogram and radioisotope renography are helpful for diagnosing megacystis megaureter. Voiding cystourethrogram, Renal scintigraphy, Doppler study and pressure flow study can differentiate between obstructive and non-obstructive types. Treatment of urinary tract infection, temporary urinary diversion to optimize the renal function, bladder training are the mainstay of treatment. Conclusion: Megacystis megaureter poses diagnostic and management dilemma. The report underscores the potential role of conservative management. Further research is necessary to establish management protocols.

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