Surgical management of extramural ectopic ureter by modified colposuspension following ureteroneocystostomy in a young female Siberian Husky dog

Jeong, In Seong; Rahman, Md. Mahbubur; Kim, Hwangmin; Kim, Sehoon

doi:10.5455/javar.2017.d214

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…The overall long-term continence rate after successful correction of EU reaches up to 81%. This continence rate can be improved by adjunct medical treatment, consisting mainly of α-adrenergic agents and application of colposuspension to treat stress incontinence due to urethral sphincter abnormalities, which are one of the major causes of recurrence of urinary incontinence (UI) after surgery [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Congenital ureterovaginal fistula: a rare case of single-system ectopic ureter with ipsilateral ectopic kidney managed by vaginal approach: a case report

2021

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Background Diagnosing urinary incontinence from organic causes such as ectopic ureter is particularly important because of the potential for cure by surgical correction. The prevalence of ectopic ureter is uncertain because many are asymptomatic and the diagnosis is usually overlooked. Eighty percent of ectopic ureters in females are often associated with duplex kidney. However, an ectopic ureter draining a single-system ectopic dysplastic/atrophic but functioning kidney is rare, especially in females. The overall long-term continence rate after successful correction of ectopic ureter is satisfactory. Case presentation This case is reported to highlight a rare situation, where a 22-year-old nulligravid Ethiopian women presented with a complaint of continuous wetting of her underwear since childhood, but she had normal voiding pattern. Localized right pelvic kidney ultrasound and computed tomography scan with contrast revealed right ectopic ureter and atrophied ipsilateral pelvic kidney with good function. Surgical reimplantation through vaginal approach was performed, and the outcome was good. The patient’s subsequent follow-ups were uneventful. Conclusion An extramural vaginal ectopic ureter is better accessed through transvaginal approach than abdominal, especially when it is associated with pelvic ectopic kidney. This modified approach is less invasive and has lower morbidity and better success rate than a transabdominal approach.

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Section: Introductionmentioning

confidence: 99%

Congenital ureterovaginal fistula: a rare case of single-system ectopic ureter with ipsilateral ectopic kidney managed by vaginal approach: a case report

2021

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“…It is known that ectopic ureters often occur with other abnormalities of urinary tract. Renal dysplasia, hydronephrosis, cystic hypoplasia or agenesis, megaureter, urethral abnormalities, vestibulovaginal malformations and urinary tract infections are among the most commonly reported concurrent abnormalities 18,20,24,26 . Compared to US, where intrapelvic structures cannot be confidently assessed, CT allows visualisation of the entire urinary tract.…”

Section: Discussionmentioning

confidence: 99%

“…Renal dysplasia, hydronephrosis, cystic hypoplasia or agenesis, megaureter, urethral abnormalities, vestibulovaginal malformations and urinary tract infections are among the most commonly reported concurrent abnormalities. 18,20,24,26 Compared to US, where intrapelvic structures cannot be confidently assessed, CT allows visualisation of the entire urinary tract. CT has been shown to be a superior method for evaluation of urinary system in veterinary patients.…”

Section: Discussionmentioning

confidence: 99%

Unilateral extramural ureteral ectopia in a cat: Ultrasonographic and computed tomography findings

Brzozowska

Marzec²,

Czerski

et al. 2021

Vet Record Case Reports

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A 6‐months‐old male intact Maine Coon cat presented for investigation of urinary incontinence and a palpable mass in the right cranial abdomen. Abdominal ultrasonography (US) revealed marked right hydronephrosis and hydroureter and raised a suspicion of ureteral ectopia, but the exact location of the ureterovesical junction was not visualised. Abdominal CT was performed and provided excellent information about opening of the ureter and confirmed the diagnosis of right extramural ureteral ectopia. The patient underwent ureteronephrectomy and recovered without complications. No urinary incontinence was detected after surgery. The patient continues to do well and remains free from clinical signs up to date. This is the first case report describing the use of CT and US in diagnosis of a rare anomaly of ureteral ectopia in a cat. It also highlights the important role of diagnostic imaging modalities in investigating and treatment planning of ectopic ureters in feline patients.

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“…The ureter is a narrow small duct that passes urine from the kidney to the bladder [ 7 , 8 ]. Therefore, several pathological conditions can be caused by ureteral obstruction, such as increased ureteral hydrostatic pressure, uteromegaly, ureter rupture, intrarenal hydrostatic pressure, hydronephrosis, reduced glomerular filtration rate in the ipsilateral kidney, and life-threatening azotemia, especially when the contralateral kidney is affected [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report

Kim

Rahman²,

Park

et al. 2020

J Adv Vet Anim Res

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Objective: Bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog are uncommon and can be difficult to diagnose. The aim of this article is to report diagnostic challenges and successful surgical treatment of this rare event and the long-term outcomes. Materials and methods: A 5-year-old, spayed (partial ovariohysterectomy) female dog was primarily diagnosed with bilateral hydronephrosis and ureter obstruction due to urolithiasis along with pyometra. The urolith was removed carefully by the right-side ureterectomy, an appropriate ureteral stent was inserted from the bladder to the right kidney, and then, a vasectomy and hysterectomy were performed. The dog improved and was discharged. However, 50 days after surgery, pyocolpos due to imperforate hymen and vestibulovaginal stenosis were diagnosed and surgically corrected, and the ureteral stent was removed because the ureter had completely healed. Results: During the first admission, serum biochemistry results revealed the increased blood urea nitrogen (5.9 mg/dl), creatinine (116.2 mg/dl), amylase (1,345 U/l), and lipase (141 U/l) values. After surgical correction, all parameters returned to normal. However, 50 days after surgery, the C-reactive protein concentration (143 mg/l) and white blood cell level increased (18.4 × 10 9 /l). After a second surgical correction, the dog recovered fully within 10 days, and no postoperative complications were observed during the follow-up of 6 months. Conclusion: This report provides diagnostic assistance and surgical treatment options for a complex urogenital case. Careful examination during puberty is recommended to prevent the associated complications of this disorder.

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Surgical management of extramural ectopic ureter by modified colposuspension following ureteroneocystostomy in a young female Siberian Husky dog

Cited by 5 publications

References 7 publications

Congenital ureterovaginal fistula: a rare case of single-system ectopic ureter with ipsilateral ectopic kidney managed by vaginal approach: a case report

Congenital ureterovaginal fistula: a rare case of single-system ectopic ureter with ipsilateral ectopic kidney managed by vaginal approach: a case report

Unilateral extramural ureteral ectopia in a cat: Ultrasonographic and computed tomography findings

Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report

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