Objective: To know the profile of Hypogonadism and Erectile Dysfunction (ED) in patients with chronic kidney disease (CKD) on hemodialysis studied. Method: The case-control study was the Case group, consisting of patients with CKD on hemodialysis (INEFRO) and the Control group by patients under outpatient follow-up. The Androgenic Deficiency in Aging Males (ADAM) and International Index of Erectile Function (IIEF) questionnaires were applied, and the following clinical examinations were performed: orchidometry, analysis of hair distribution, gynecomastia and BMI. Results: ADAM’s mean score was 4.2 points (case) and 1.9 points (control). In the Case group 60% have observed decreased libido and 70% perceived that the erections are less vigorous. In the Control group, prevalence decreased to 30% in both questions. In the analysis of IIEF-5, the mean score was 16.63 (case) and 19.93 (control). 60% of patients in the Case group and 50% of the Control group have some degree of ED. Gynecomastia was evaluated in 20% (case) and 7% (control). The orchidometry of the Case group revealed prevalence in 53.33% of testicular volume 3 patients of the orchidometer. In the control group, the most prevalent measure was 4, found in half of the patients (50%). Conclusions: Through the questionnaires applied in both groups with similar mean ages, it can be inferred that patients in the Case group experienced earlier, throughout the dialysis process, a direct impact on sexual quality, with decreased libido and difficulty in the reaction when compared to the Control group.

Ureteral duplication associated with ectopic ureteral insertion is a rare congenital anomaly clinically more common in females. Early urinary incontinence is the main symptom of ureteral ectopy in the first childhood of these patients. Contrast computed tomography and magnetic resonance imaging are the most effective imaging methods to rule out or confirm the diagnosis of ectopy associated with ureteral duplication. In cases where significant surgical functions are performed, the reconstructive surgical approach with reimplantation of the ureteral unit is the technique of choice. We present the case of a 6-year-old female patient who was diagnosed with bilateral complete ureteropielocalicial duplicity confirmed by intravenous pyelography. Confirmation of ureteral ectopy only occurred intraoperatively. The surgical correction consisted in reimplantation of the ectopic ureteral unit in the patient's bladder, since preserved renal functions evidenced in renal scintigraphy with DMSA. After performed the procedure, the patient remained asymptomatic and with normal urinary patterns. For the accomplishment of the present study, we used as data source the patient's medical records, useful for the realization of the clinical history from the diagnosis to the definitive surgical treatment that concluded the case. Ureteral duplication associated with ectopic ureteral insertion should be perfectly understood and had with a possible diagnosis for cases of urinary incontinence and recurrent urinary infections. Investigation through detailed physical examination and the use of appropriate imaging tests may help in the early detection of this rare anomaly of the genitourinary tract.