Camacho S, Cadena JL, Bermúdez L, Camacho J

Language: Spanish
References: 4
Page: 155-157
PDF size: 47.84 Kb.

ABSTRACT

Introduction: The diagnosis of ectopic ureter should be suspected in girls when there are classical symptoms of normal voiding with dribbling urinary incontinence. Usually the ectopic ureter opens below the sphincter mechanism. Ureteral ectopy occurs in both males and females but is much more common in the female at a ratio of about 6 to 1. We report a female with this congenital anomaly.
Case report: A five year old female was evaluated by the presence of urinary incontinence, the radiologic images demonstrated a complete left ureteral duplication. Cystourethroscopy was performed to localize the ectopic orifice. The child was managed by upper pole heminephrectomy and subtotal ureterectomy.
Discussion: The best treatment to resolve this anomaly is partial nephrectomy with resection of the upper pole and subtotal ureterectomy.

REFERENCES

1. Plaire JCH, Pope IV JC, Kropp BP, Adams MA, Keating MA, Rink RC et al. Management of ectopic ureters: experience with the upper tract approach. J Urol 1997; 158: 1245-47.

2. González ET. Anomalies of the renal pelvis and ureter. In: Kelalis PP, King LR, Belman AB. Clinical Pediatric Urology. 3a ed. Philadelphia: W. B. Saunders Company 1992; 1: 542.

3. Ahmed S, Morris LL, Byard RW. Ectopic ureter with complete ureteric duplication in the female child. J Pediatr Surg 1992; 27: 1455-60.

4. Vates TS, Bukowski T, Triest J, Freedman A, Smith C, Perimutter A et al. Is there a best alternative to treating the obstructed upper pole? J Urol 1996; 156: 744-46.