Evaluation of ureterocele with Doppler sonography

Ureterocele is a common disorder characterized by cystic dilatation of the terminal submucosal portion of 1 or both ureters. Conventional imaging moda lities for the diagnosis of ureterocele include intravenous urography and v oiding cystourethrography; gray-scale sonography, augmented by color Dopple r and spectral analysis studies, can be useful in diagnosing and managing t his condition as well. We describe the diagnosis of ureterocele using trans vaginal gray-scale and color Doppler sonography with spectral analysis in 2 women. Color Doppler sonography demonstrated urine flow into the bladder, and spectral analysis was used to measure the flow velocity. Together, thes e modalities can provide additional information about urinary flow dynamics , aid in implementing treatment for patients with ureterocele, and eliminat e the need for invasive diagnostic procedures. (C) 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:425-429, 2000.