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Unravelling the case of suspected ectopic ureter in a young adult patient.

Radiol Case Rep

March 2025

Department of Radiology, Hasan Sadikin Academic Medical Center-Faculty of Medicine, University of Padjadjaran, Jatinangor, Indonesia.

An ectopic ureter (EU) opens outside the bladder's trigone, a rare condition with an incidence of 0.05%-0.025%.

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Müllerian (paramesonephric) duct anomalies (MDA) are a rare condition, occurring in 5.5% of female newborns. One of the most complex malformations is represented by Obstructed Hemivagina and Ipsilateral Renal Anomalies (OHVIRA) syndrome, also known as Herlyn -Werner-Wunderlich (HWW) syndrome.

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Article Synopsis
  • Robot-assisted extravesical ureteral reimplantation (REVUR) is presented as a beneficial alternative to traditional open surgery for children with complex obstructed megaureter (COM), which may require ureteral dismembering or tapering.
  • In a study of 16 pediatric patients (mostly boys), REVUR was successfully performed without complications, with a median surgery time of around 220 minutes and a hospital stay of about 3.8 days.
  • Post-surgery, all patients experienced symptom relief and improved ultrasound results, with only a small percentage facing minor complications, indicating REVUR's effectiveness and safety for treating obstructive ureteral issues.
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Ectopic urethral opening in herlyn-werner-wunderlich syndrome: A rare finding.

Radiol Case Rep

December 2024

Department of Radiology, Mayo Hospital, King Edward Medical College, Neela Gumbad Chowk, Lahore, Punjab, Pakistan.

Article Synopsis
  • Herlyn-Werner-Wunderlich Syndrome (HWWS) is a rare condition, and this case is the first to show an unusual problem with the urethra, which is the tube that carries urine out of the body.
  • A 27-year-old woman had issues like blood in her urine, pain while peeing, and trouble urinating, which led doctors to do an MRI.
  • The MRI revealed she had a special type of uterus with two parts and two cervixes, which explains her problems and suggests that the unusual urethra might be causing her discomfort.
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Article Synopsis
  • The study reviews the outcomes of open distal ureteroureterostomy (UU) surgery for children with duplicated collecting systems and no lower pole vesicoureteral reflux (VUR), conducted across multiple centers from 2009 to 2022.
  • A total of 127 patients were analyzed, predominantly females, with most undergoing surgery due to prenatal hydronephrosis and a mean age of 18 months at operation.
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