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Surgery General ff8ef4a3

"Golf-hole" ureteric orifice is seen in: March 2011

A
Ureteric calculus
B
Ureteral polyp
C
Tuberculosis of urinary bladder
D
Retroperitoneal fibrosis
High-Yield Explanation
Ans. C. tuberculosis of urinary bladder TB of urinary system: Cystoscopy shows that early TB of the bladder commences around the ureteric orifice or trigone The earliest evidence is pallor of the mucosa due to submucus edema Subsequently tubercles may be seen as cobblestone appearance Long standing cases, there is much fibrosis and the capacity of the bladder is gretly reduced (thimble bladder) Rigid, wide mouthed ureter (golf hole ureter)

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