Bladder dysfunction in children with bilateral single ectopic ureters

Heuser, Markus; Zöller, G.; Seseke, F.; Zappel, H.; Ringert, R.‐H.

doi:10.1053/jpsu.2002.32302

Cited by 19 publications

(17 citation statements)

References 13 publications

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“…Five cases of bilateral SSEU and only one case of unilateral SSEU, with wide bladder neck, continue to remain wet, although to a varying degree, after surgery while the other patients achieved complete dryness. As also shown by our series, the most important determinant recognized for continence is the integrity of the bladder neck [5]. The outcome of bladder augmentation with UTR for small bladder in bilateral ectopic ureter remains to be determined.…”

Section: Discussionmentioning

confidence: 58%

“…The same is not true for bilateral cases [5,29] due to abnormal trigone, small bladder, and insufficiency of the bladder neck. Transient residual symptom of wetting after surgery for SSEU has been reported [4].…”

Section: Discussionmentioning

confidence: 94%

“…EU poses diagnostic and therapeutic challenges [4]. The results of surgical treatment are gratifying except in those patients in whom bladder function is abnormal [5]. In this retrospective study, we have analyzed the records of 27 children with EU in order to study the anatomical types, function of the affected renal units, the results of surgical treatment, and the existence of any regional or racial variations in the anatomy and presentation of this anomaly.…”

Section: Introductionmentioning

confidence: 99%

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Spectrum of ectopic ureters in children

et al. 2008

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We reviewed the clinicopathological features, diagnosis, and surgical treatment of ectopic ureters (EU) in children in order to evaluate the anatomy, renal function, outcome, and the existence of any racial or regional difference in this abnormality. The records of 27 consecutive patients with 33 EU managed over a period of 7 years were analyzed. There were 25 female and two male patients. Their age ranged from 1 to 13 years, with an average of 4.5 years. The presenting features included history of continuous dribbling of urine with otherwise normal voiding in toilet-trained female patients, incontinence of urine, urinary tract infection, abdominal pain, and renal failure. The diagnostic work-up included ultrasonography (US) in all 27 patients, intravenous pyelography (IVP) in 23, micturating cystourethrogram (MCU) in 19, nuclear imaging (NI) in 16, and computed tomogram (CT) in five patients. All patients underwent examination under anesthesia (EUA) and cystourethrovaginoscopy immediately before the operation. Single-system ectopic ureter (SSEU) was present in 19 patients with 25 ureters (six bilateral), and duplex with ectopic ureter was present in eight cases. The left side was involved in 14 cases, the right side in seven, and the anomaly was bilateral in six cases. Abnormalities noted in the imaging studies were USG 23/27, IVP 23/23, MCU 11/19, NI 13/16, and CT 5/5 cases. EUA and cystourethrovaginocsopy helped in localization of the ectopic site and evaluation of the bladder. The surgical treatment included nephroureterectomy (NUT) for non-functioning kidney in 7 patients, heminephroureterectomy (HNUT) for non functioning upper pole of duplex kidney with EU in 6 patients, ureteric reimplantation (UTR) in 13 patients (19 ureters, 6 bilateral), and ureteropyelostomy (UTP) in one patient. In the follow-up period ranging from 1 to 5 years, 20 patients achieved continence; however, six cases with bilateral SSEU and one case of unilateral SSEU, who also had a patulous bladder neck, continued to dribble urine. SSEU was more common than duplex with ectopic ureter. A large number of functioning renal units associated with SSEU deserved preservation. The success of surgical treatment in terms of achievement of continence was high and depended on the integrity of the bladder neck.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Spectrum of ectopic ureters in children

et al. 2008

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“…Especially in children with bilateral SSEU, management is further complicated by the poorly developed bladder and the unperfected trigone. Based on this phenomenon, incontinence may persist after ureteral reimplantation [14]. Therapy for a choledochal cyst is important even in absence of any symptoms to minimize further risks of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

Bilateral single-system ectopic ureter associated with choledochal cyst: report of 2 cases

Ellerkamp

Kirschner

Warmann

et al. 2010

Journal of Pediatric Surgery

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“…Other useful imaging techniques are USG and or a nuclear scan with 99m Technetium. 8 If the defect is undetected in early childhood, its diagnosis is even more difficult in adulthood. In adult women, especially after delivery, urinary incontinence should be differentiated from incontinence developed due to functional-anatomical disorders or other diseases such as genitourinary fistulas.…”

Section: Lich Gregoir Techniquementioning

confidence: 99%

Unusual Case of Vesico Ureteral Reflux Secondary to Single Right Ectopic Ureter With Bilateral Functioning Kidney

Krishna¹,

Jaykar²,

Kasabe³

et al. 2014

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Approximately half of woman with ectopic ureter present with a classical history of continuous dribbling incontinence depicts what appears to be a normal voiding pattern. An ectopic ureter may also be severely obstructed, causing massive hydronephrosis as an abdominal mass. We present a rare case of 40yrs old woman with a unilateral single ectopic ureter at bladder neck presented as repeated UTI and hydronephrosis but the patient was continent. We also have pleasure to present diagnostic and therapeutic process that often pose difficulties for many specialists including urologist, gynecologists, surgeons and radiologist.

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Bladder dysfunction in children with bilateral single ectopic ureters

Cited by 19 publications

References 13 publications

Spectrum of ectopic ureters in children

Spectrum of ectopic ureters in children

Bilateral single-system ectopic ureter associated with choledochal cyst: report of 2 cases

Unusual Case of Vesico Ureteral Reflux Secondary to Single Right Ectopic Ureter With Bilateral Functioning Kidney

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