Classically, the treatment of obstructive pathology of the ureterovesical junction due to congenital or acquired causes has involved open surgery, ureteral reimplantation, or nephrectomy in cases of renal function loss.
We included 18 consecutive cases of stenosis of the ureterovesical junction in 11 women and in 7 men between the ages of 26 and 60 years (41.
The inclusion criterion was benign, intrinsic stenosis of the ureterovesical junction.
A total of 18 patients presented with unilateral obstructive pathology of the ureterovesical junction due to a stricture lower than 8 mm (Table 1).
Additional comparative and prospective studies are needed using other endoscopic and surgical treatment methods to definitively establish oblique meatotomy as a first-line treatment in benign obstructive pathology of the ureterovesical junction.
Oblique ureteral meatotomy performed with cold cutting using endoscopic scissors has been demonstrated to be useful to treat obstructive pathology of the ureterovesical junction (obstructive megaureter, ureterocele, and stenosis of the ureteral meatus) with a high success rate and a low index of complications.
Contrast-enhanced computed tomography of pelvis showed one heterogeneously-enhanced mass (T) in the prostate, compressing the right bladder base at ureterovesical junction
, without clear demarcation from the prostate.