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Case Reports in Urology
Volume 2013 (2013), Article ID 198592, 3 pages
Case Report

Primary Obstructive Megaureter with Giant Ureteral Stone: A Case Report

Department of Urology, Erciyes University Medical Faculty, 38039 Kayseri, Turkey

Received 15 January 2013; Accepted 2 February 2013

Academic Editors: N. Eke and F. Ramezanzadeh

Copyright © 2013 Abdullah Demirtaş et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 19-year-old male patient was admitted with flank pain, which had lasted intermittently for four years. In X-ray, there was a radiopacity with a dimension of 6 × 4 cm on the left pelvic bone. Intravenous pyelography revealed a huge left megaureter with a stone in the lower end and grade V hydronephrosis. A left ureterolithotomy, left nipple ureteroneocystostomy, and psoas hitch operation was performed. A voiding cystourethrogram taken three months after the operation showed no reflux, and in IVP there was reduced dilatation of the collecting system when compared to the ureter before the operation.