Diagnosis and management of incidental ureterocele during the treatment ofclinically localized prostate cancer

Two instances of simultaneous diagnosis of prostate cancer and ureterocele were recently identified. In one patient an ectopic ureterocele in a duplex system with an obstructed upper pole was unroofed at the lime of radical p rostatectomy. Surgical excision of the ureterocele wall provided decompress ion of the obstructed system. In a second patient, bilateral intravesical u reteroceles associated with normal renal units were left untreated. Complic ations were not associated with the untreated ureteroceles. On rare occasio ns a ureterocele may be discovered incidentally during the evaluation of pa tients with prostate cancer. When radical prostatectomy is planned, treatme nt of the ureteroceles should be determined by the ureterocele's size, anat omic configuration, and location and by the degree of obstruction of the af fected renal unit. Surgical excision of the ureterocele at the time of radi cal prostatectomy may be the best approach for patients requiring treatment .