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 closure of the bladder and urinary canal by swelling venous areas and tissue deposits - tumors, cysts. This phenomenon is often congenital in nature and is considered anomalies in the development of the genitourinary system.
Causes
What is included in the list of small and pathological anomalies of 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 potent medicines.
- Loss or insufficient muscle fibers in the middle urinary tract.
- Violation of the contractile function of the genitourinary system.
- Change in the structure of the bladder.
Acquired disorders of the urination process include:
- Uterine prolapse.
- Overstrain of the walls of the ureter as a result of the impact of a large load on the ligamentous apparatus. It occurs when lifting and transporting heavy objects, sports loads.
- Hydronephrosis - stagnation of urine in the renal pelvis.
- Violation of vascular tone.
Symptoms
Ureterocele in women is a disease associated with urinary retention due to an anatomical defect in the urinary tract, or rather, as a result of bulging veins of the intravesical space of the ureter. It is quite difficult to diagnose this condition, but thanks to the collection of anamnestic data and a screening study, ureterocele easily differentiates with other diseases of the genitourinary system. The most common and characteristic complaints of patients with this diagnosis are:
- Unpleasant sensations during urination.
- Drawing pains in the lower abdomen.
- Change in the color of urine from dark yellow to dark brown, sometimes even maroon with a cloudy sediment.
- Backache in the lumbar region.
- An increase in body temperature without visible colds.
- Discomfort or pain in the perineum.
- Cramping and lumbago when changing body position.
With complete closure of the urinary tract, patients show signs of intoxication:
- nausea, vomiting, discoloration of the skin;
- the stomach grows in size;
- foul-smelling purulent discharge of bright green color appears.
The body temperature is in the abnormally high range of 39.5-40 degrees, antipyretics do not have any effect or reduce the temperature for a short time.
Diagnostics
Diagnostic measures for the establishment of ureterocele include several main stages:
- Anamnestic data collection. The specialist carefully studies the medical history, trying to find the factors that provoked the development of such a complex pathology.
- Visual inspection. With inflammation of the genitourinary system, redness and swelling of the genitals are pronounced. The inner space of the vagina also has clear signs of inflammation.
- Palpation. Checks the condition of the female genital organs, ureters, kidneys.
- Laboratory diagnostics:
- General clinical analysis of blood and urine.
- Bacterial culture of urine.
- Blood chemistry.
- Hardware examination of the pelvic organs, kidneys:
- X-ray using a special contrast agent. A 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 largest accumulation of negative substances - toxins, adhesions and other pathological changes in the patient's body become very clearly visible on the radiographic image.
- Ultrasound of the kidneys, bladder. Photos of 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 operation in women
As a rule, a urinary tract pathology such as ureterocele is a congenital anomaly, in some cases, a ureterocele is formed due to blockage of the ureter in urolithiasis. In both cases, this 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, exclusively the 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 prescribed for the patient, a therapeutic course of antibiotics is performed. This will help minimize the development of inflammatory processes in the postoperative period.
The complexity, volume and scale of surgery depends on the size of the ureterocele, the degree of development of the disease.
Transurethral puncture
If the pathology did not lead to the development of pathological irreversible processes in the kidney and urinary bladder, then it is indicated that such treatment of ureterocele in women as transurethral puncture is indicated. Such surgical intervention is usually carried out on an outpatient basis, without identifying the patient in a 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 pumped out. The whole procedure takes no more than half an hour, and postoperative recovery proceeds quickly and without serious complications.
Endoscopic Electric Infection
To remove ureterocele in more advanced stages in a hospital, a surgical procedure is performed - endoscopic electroinfection. This is the most modern method of removal (excision) of a small ureterocele with the simultaneous formation of the mouth of the ureter. Such an operation is performed using endoscopic scissors or a galium laser.
Laparoscopy
One of the methods of surgical intervention often used in urology is laparoscopy. It is carried out, for example, if, due to ureterocele, pathological processes spread to the kidneys (its functionality is impaired). With 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 divergence of sutures in the ureter, it is necessary to use an inserted internal catheter, which gives the 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 predictions with timely surgical correction.
Folk remedies
Any problems in the genitourinary system can not only greatly worsen the quality of life of the patient, but also provoke many complex diseases that are difficult to treat. The cystic sac that appears with this disease causes a constant urinary retention, but the patient may, at the same time, feel frequent urges. The danger of this disease is that it gradually develops, new, more unpleasant symptoms appear, and after a while the patient may feel stronger pain.
I would immediately like to warn that this disease is treated only in two main ways, one of which is medication, and the second is operational. The choice of one or another method of treatment will depend, of course, on the condition of the patient, as well as on what stage of development is the ureterocele.
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.
Lime decoction
With the help of such a folk soft product that does not have side effects, you can eliminate pain, pain and constant burning with ureterocele. To prepare a healing infusion, pour lime color (two tablespoons) into a stewpan, pour cool boiling water (540 ml), then simmer the mixture over low heat until it boils, continue cooking for another ten minutes. Once the linden broth is completely ready, cool it, then strain and consume half a glass in the evening.
Freshly squeezed parsley juice
From fresh parsley, squeeze the juice, then dilute it with drinking warm water in a 1: 1 ratio. To use this healing remedy should be three times a day for half a glass. There are a lot of reviews about the treatment of ureterocele in women, and they are all different. Therefore, in the first place, you should visit a specialist so that he prescribes the necessary therapy.
Effects
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 ball causes damage to the mucous membrane. Ultimately, chronic pyelonephritis is provoked and the excretory function is destroyed. Pathology can threaten negative consequences:
- Hydronephrosis (the pyelocaliceal system expands ).
- Atrophy. Scars begin to appear on the tissues, and urine subsequently ceases to be synthesized.
- There is bleeding.
- Stones may form in the excretory tract.
- Pathology can cause renal failure (salt and water metabolism are disturbed).
- Cystitis, in which pain appears at the end of the urination process.
- Arterial hypertension. Blood pressure rises and remains at the level, moreover, it is difficult to treat.
- The disease can cause inflammatory diseases in the kidneys.
Treatment involves the complete removal of an organ or its reconstruction. Before doing the operation, it is necessary to carry out the procedure for eliminating pathogenic microbes in the urinary system.