Adult Ureteral Ectopia

Abstract

We report on 6 women with ureteral ectopia to emphasize the need for careful endoscopic examination in evaluating the entity. The clinical histories are unusual in that 1 of the 6 patients had classical symptoms of urinary incontinence. A discussion of the diagnosis and treatment of ureteral ectopia in such patients is presented.

Dilatation in the Duplex Kidney: 3 Unusual Cases

“…The ureter draining the lower moiety, although normally located, has a shorter intramural course at the vesicoureteric junction and is more prone to reflux and infection (Bissett and Strife, 1987;Sutton, 1987). When complete duplication is present it is the ureter draining the upper moiety that is ectopic (Persky and Noseworthy, 1976;Young and Lebowitz, 1987); the pelvicaliceal system associated with it is frequently abnormal (Yue, 1974). Ureteroceles may be present and are often associated with a dysplastic or obstructed upper moiety, or both (Young and Lebowitz, 1986;Sutton, 1987).…”

“…This may be difficult to demonstrate, although it is suggested that it may occur in approximately onethird of cases (Wyly and Lebowitz, 1984). The ectopic ureter may insert anywhere along the genitourinary tract (Sutton, 1987), classically giving rise to symptoms of wetness or dribbling since childhood (Persky and Noseworthy, 1976;Young and Lebowitz, 1986). Incontinence is not always present, however, and patients may present with other genitourinary symptoms, for example vaginal discharge (Persky and Noseworthy, 1976).…”

“…The ectopic ureter may insert anywhere along the genitourinary tract (Sutton, 1987), classically giving rise to symptoms of wetness or dribbling since childhood (Persky and Noseworthy, 1976;Young and Lebowitz, 1986). Incontinence is not always present, however, and patients may present with other genitourinary symptoms, for example vaginal discharge (Persky and Noseworthy, 1976). In one series, urinary incontinence was regarded as significant only when the ectopic ureter was inserted into the distal urethra (Persky and Noseworthy, 1976).…”

“…Incontinence is not always present, however, and patients may present with other genitourinary symptoms, for example vaginal discharge (Persky and Noseworthy, 1976). In one series, urinary incontinence was regarded as significant only when the ectopic ureter was inserted into the distal urethra (Persky and Noseworthy, 1976). Vesicoureteric reflux and obstruction at the pelviureteric or vesicoureteric junctions may coexist (Leighton and Mayne, 1989).…”

“…Renal duplication is the commonest congenital abnormality of the renal tract (Hartman and Hodson, 1969;Bissett and Strife, 1987). In complete duplication the ureters insert separately into the bladder with the ureter draining the upper moiety located below that of the lower moiety; the latter is usually normally located at the trigone (Persky and Noseworthy, 1976;Young and Lebowitz, 1986). Urinary tract anomalies are present in approximately 17% of children with complete duplication (Bissett and Strife, 1987).…”