Incontinence due to an infrasphincteric ectopic ureter: why the delay in diagnosis and what the radiologist can do about it

Carrico, Caroline; Lebowitz, Robert L.

doi:10.1007/s002470050506

Cited by 41 publications

(24 citation statements)

References 11 publications

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“…), and are especially difficult to find if they are draining a hypofunctioning kidney due to lack of positive imaging findings. 5 Because of this, diagnoses are at times unfortunately made later in life, with case reports of women being diagnosed as late as 70 years of age. 1 Studies have shown a mean delay in definitive diagnosis as anywhere from 2 to 5 years after initial presentation.…”

Section: 3mentioning

confidence: 99%

“…1 Studies have shown a mean delay in definitive diagnosis as anywhere from 2 to 5 years after initial presentation. 1,5 This indicates that there must be a high index of suspicion for ectopic ureter in a girl or woman presenting with unrelenting urinary incontinence regardless of age. 1,3,4,5 This case details a 17-year-old adolescent female with an ectopic ureter diagnosed late in life.…”

Section: 3mentioning

confidence: 99%

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Ectopic ureter in an adolescent female with vaginal discharge: a case report

Whitis

Stockdale

2016

Proc Obstet Gynecol

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Section: 3mentioning

confidence: 99%

Section: 3mentioning

confidence: 99%

Ectopic ureter in an adolescent female with vaginal discharge: a case report

Whitis

Stockdale

2016

Proc Obstet Gynecol

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“…In men, the extravesical ectopic orifice is always suprasphincterically and the ectopic orifice sites may be in bladder neck, seminal vesicle, vas deferens, prostate or epididymis [7]. Normal urination together with continuous incontinence are patognomic features for infrasphincteric ureteral openings [8]. Ectopic ureteral insertion is most commonly associated with complete duplication and obstruction [2].…”

Section: Introductionmentioning

confidence: 99%

Ectopic insertion of a duplicated ureter into prostatic urethra: Demonstration by 3D multi-detector computed tomography urography

Deng

Liu

2016

XST

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Abstract. Ectopic insertion of the ureter in the genitourinary tract is a rare congenital disorder, usually associated with ureteral duplication. Identification of the insertion open is critical for ureteric re-implantation. However, the challenge in the diagnosis of ectopic insertion of the ureter usually is to identify its insertion, particularly when the affected ureter is not dilated. Multi-detector computed tomography (MDCT) urography with nonionic iodinated contrast media delineates the ureteric course in the normal functioning kidney in the excretory phase [1]. This report presented a young male patient with ectopic insertion of a duplicated ureter diagnosed by MDCT urography. Three-dimensional (3D) analysis technology, such as volume rendering (with a color display improving the visualization of complex anatomy and 3D relationships) and maximum intensity projection (similar in principle to projection angiography), is useful for the illustration of urinary tract anatomy [1]. Rotated volume rendering reconstruction images and continual thinner maximum intensity projection reformatted images can be viewed as videos, which provides detail delineation of the ectopic ureteral insertion and its associated ureteral duplication.In this study, we reported MDCT urography and 3D analysis technology as an appropriate diagnostic method for the ectopic ureteral insertion and its associated complications.

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“…1 When the upper pole moieties are small or dysplastic, diagnosis can be subtle and the condition can go unrecognized by routine methods. 2 Successful confirmation of the ecotopic ureter openings preoperatively also remains a diagnostic challenge. We report a rare case in which, although conventional imaging demonstrated bilateral duplicated renal collecting systems, it failed to depict the exact site of insertion of the right ectopic ureter.…”

Section: Introductionmentioning

confidence: 99%

Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography

Tang

Wang

Liu

et al. 2015

CUAJ

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E554Cite as: Can Urol Assoc J 2015;9(7-8):E554-8. http://dx.doi.org/10.5489/cuaj.2886 Published online August 10, 2015. AbstractRenal duplication accompanied by ureteral ectopia is an uncommon urinary congenital abnormality. We report the case of a 21-year-old girl who suffered from lifelong continuous urinary leakage. She was finally diagnosed with bilateral duplicated collecting systems complicated with right ectopic ureteral orifice -an extremely rare case. The patient underwent ureteric re-implantation for the ectopic side, and her urinary incontinence ceased soon thereafter. In this case, traditional imaging failed to show the exact insertion of an ectopic ureter. However, magnetic resonance urography combined with retrograde intubation radiography successfully depicted the point of ureteric insertion, which may make the diagnostic process accurate and efficient.

show abstract

Incontinence due to an infrasphincteric ectopic ureter: why the delay in diagnosis and what the radiologist can do about it

Cited by 41 publications

References 11 publications

Ectopic ureter in an adolescent female with vaginal discharge: a case report

Ectopic ureter in an adolescent female with vaginal discharge: a case report

Ectopic insertion of a duplicated ureter into prostatic urethra: Demonstration by 3D multi-detector computed tomography urography

Single ectopic ureteral orifice with bilateral duplicated renal collecting systems in an adult girl: Diagnosis by magnetic resonance urography

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