A case of an ectopic ureter with vaginal insertion diagnosed in adulthood

Demir, Mehmet; Çiftçi, Halil; Kılıçarslan, Nihat; Gümüş, Kemal; Oğur, Mehmet; Gülüm, Mehmet; Yeni, Ercan

doi:10.5152/tud.2014.81567

Cited by 28 publications

(32 citation statements)

References 9 publications

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“…An ectopic ureter implantation, however, is a rare ureteral entity with an estimated incidence of 0.05–0.025% in the population [2], the majority of whom are women in up to 80% of cases [3]. During embryogenesis, the urogenital system and the reproductive system develop from the intermediate mesoderm.…”

Section: Discussionmentioning

confidence: 99%

Duplicated Collecting System with Ectopic Vaginal Implantation

Behaeghe

Seynaeve²,

Verstraete

2018

Journal of the Belgian Society of Radiology

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We present a case of a 54-year-old woman with a left-sided complete duplication of the ureter. The upper moiety drains in the proximal third of the vagina, which results in an ureterocele and urinary incontinence. The ureteral orifice of lower moiety ureter was normal. Duplication of the ureters with distal, infra-sphincteric, vaginal implantation is an uncommon congenital anomaly and a rarely seen entity in adulthood as a cause of urinary incontinence. MR colpocystodefecography showed an ureterocele in between the bladder and the rectum. Computed-tomography showed the duplicated ureters and ectopic ureter with proximal implantation on the renal upper pole and distal implantation on the proximal third of the vagina.

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Section: Discussionmentioning

confidence: 99%

Duplicated Collecting System with Ectopic Vaginal Implantation

Behaeghe

Seynaeve²,

Verstraete

2018

Journal of the Belgian Society of Radiology

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“…A duplex kidney arrangement consisting of an ectopic ureter implanting into the vagina is a relatively rare congenital malformation 2 3. This arrangement has previously been identified as an explanation for continuous urinary incontinence 2 4.…”

Section: Discussionmentioning

confidence: 99%

Robotic partial nephrectomy for duplex kidney with ectopic ureter draining in the vagina in an adult patient with urinary incontinence

Mahmood¹,

Hadjipavlou

Das

et al. 2017

BMJ Case Reports

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A duplex kidney system with an ectopic ureter draining into the vagina is a congenital malformation that typically presents as refractory urinary incontinence. Diagnosis is often difficult to establish and delayed due to a low incidence. We present the case of a patient aged 26 years with a life-long history of persistent urinary incontinence. Initial presentation was at childhood; however, the diagnosis went undetermined for 22 years. CT urography revealed a duplex kidney with an atrophic upper pole associated with an ectopic ureter that drained into the vaginal vault. This is the first description of such a case being managed successfully via a robot-assisted partial nephrectomy approach. Ectopic ureteral duplication should be considered in the differential diagnosis for young women with refractory urinary incontinence. Robotic partial nephrectomy is a safe and effective technique to manage such cases.

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“…3-6 A very similar case was recently published in the Turkish Journal of Urology; however, this woman had continuous urine leakage rather than intermittent and had an orifice forming a vaginal cyst. 3 Finally, there are two cases of Gartner duct cysts in adults that were found to be ectopic ureters. 7,8 Our case is rare and unique as a result of the age of presentation and the nonspecific symptoms with which she presented.…”

Section: Discussionmentioning

confidence: 99%