Bilateral Orthotopic Ureteroceles Presenting with Primary Nocturnal Enuresis, a Case Report

An 8-year-old boy presented with primary nocturnal enuresis as the first clinical sign of ureterocele in the absence of dysuria, urinary incontinence or urinary tract infections. A prolonged history of bedwetting prompted subsequent clinical and laboratory evaluations, leading to the correct diagnosis of ureterocele. Primary and persistent nocturnal enuresis as an initial manifestation of ureterocele has not been reported previously. The present patient showed a feature not previously described in children with ureterocele. Although rare, ureterocele should be considered in the differential diagnosis of children presenting with primary nocturnal enuresis.