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Diagnostic work-up and laparoscopic correction of an ectopic ureter.

J Pediatr Urol

October 2015

Pediatric Urology Unit, Division of Urology, Hospital das Clínicas, University of São Paulo School of Medicine, Brazil.

Introduction: A duplex renal collecting system is a common congenital anomaly in children. Continuous dribbling (especially if after the toilet-training period) should raise suspicion of the presence of an ectopic ureter, which is most often associated with ureteral duplication. This video will demonstrate the complete diagnostic work-up necessary in these cases.

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Ultrasound has been recognized as an important tool for pelvic floor evaluation. A main limitation of the two-dimensional transvaginal examination is in delineation of the posterior vaginal compartment and its relation to the cervix. We describe the use of three-dimensional saline infusion vaginography as a complementary technique for the assessment of the vaginal wall and pelvic floor descent.

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Objectives: To present the diagnostic results of contrast vaginography to detect a vaginal ectopic ureter, in addition to investigation with ultrasonography, intravenous urography, and technetium-99m-dimercaptosuccinic acid renal scan. A single ectopic ureter is a rare anomaly.

Methods: Eighteen girls with a single ectopic ureter were treated at the Children's Hospital No.

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The diagnosis of a rectovaginal or enterovaginal fistula is mostly made by a careful historical of a faecal vaginal discharge. When a rectovaginal fistula is low, an examination will demonstrate it with ease. However, when there is a high and small fistula into the vault or the fornix of the vagina, traditional methods of small bowel enema and barium enema may not demonstrate the fistula.

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Colouterine fistulas are difficult to demonstrate radiologically. The authors present a case in which such a fistula was observed with computed tomography and confirmed by vaginography.

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