Ectopic ureter, particularly in females, often presents at a young age as incontinence. Otherwise healthy girls who have continuous urinary wetting during day and night despite adequate toilet training should be held with a high level of suspicion for an extravesical infrasphincteric ectopic ureteral orifice. If such a diagnosis goes undiscovered, frequent reflux or obstruction may cause permanent damage to the renal unit, as in the patient discussed here.
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http://dx.doi.org/10.1016/j.eucr.2014.02.007 | DOI Listing |
JNMA J Nepal Med Assoc
February 2022
Department of Surgery, Kanti Children's Hospital, Maharajgunj, Kathmandu, Nepal.
J Belg Soc Radiol
October 2018
Ghent university, BE.
We present a case of a 54-year-old woman with a left-sided complete duplication of the ureter. The upper moiety drains in the proximal third of the vagina, which results in an ureterocele and urinary incontinence. The ureteral orifice of lower moiety ureter was normal.
View Article and Find Full Text PDFUrol Case Rep
May 2014
Department of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA.
Int Braz J Urol
July 2013
Urologic Clinic, Hospital das Clinicas, University of Sao Paulo, Brazil.
Purpose: Duplex system is one of the most common anomalies of upper urinary tract. Anatomical and clinical presentation determine its treatment. Usually, the upper moiety has a poor function and requires resection, but when it is not significantly impaired, preservation is recommended.
View Article and Find Full Text PDFIn girls who are otherwise well and whose history is that of continuous wetting day and night, despite successful toilet training, for a lifelong history, an extravesical infrasphincteric ectopic ureteral orifice should be strongly suspected and imaging should be vigorously pursued. Here, delayed diagnosis of vaginal ectopic ureter in a young girl with a lifelong history of urinary incontinence is presented. The importance of history and imaging procedures are also discussed.
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