Abstract
Bilateral Vesicoureteral Junction obstruction (VUJO) is a rare urological condition characterized by the narrowing or blockage at the junction where the ureters meet the bladder, affecting both sides. This obstruction impedes the normal flow of urine from the kidneys to the bladder, leading to a buildup of hydroureteronephrosis. The condition can be congenital, often detected prenatally through ultrasound, or acquired due to factors such as scar tissue, infection, or kidney stones. Symptoms may include flank pain, urinary tract infections, hematuria, and in severe cases, impaired renal function. Diagnosis typically involves imaging studies such as renal bladder ultrasound, and mismanagement of bilateral VUJ obstruction aims to preserve renal function and alleviate symptoms. Treatment options range from conservative management with regular monitoring to surgical interventions like ureteral reimplantation, depending on the severity of the obstruction and the degree of renal impairment. We report a case of 3 years 3-year-oldfemale who complains of recurrent pyelonephritis. Imaging studies revealed bilateral VUJO with bilateral megaureter and hydronephrosis. ureteroneocystostomy done.The patient tolerated the procedure well, with no intraoperative complications.Postoperative recovery was uneventful, and follow-up imaging confirmed the successful removal of the affected ureteral segment. Ureteroneocystostomy surgery is a viable surgical option for managing symptomatic VUJO