The Ectopic Ureter in Men

Abstract

The ectopic ureter is less common in male than in female patients. It usually terminates proximally to the external sphincter in the seminal vesicle or vas deferens, and usually involves a nonduplicated drainage system of a dysplastic kidney. Men characteristically present with lower tract symptoms, often epididymitis, a cystic or boggy periprostatic mass on rectal examination and ipsilateral nonvisualization on excretory urography. The embryology, pathogenesis, diagnosis and treatment of this condition are discussed, and 4 illustrative cases are presented.

An ectopic ureter of a duplicated system presenting as a pelvic collection following laparoscopic radical prostatectomy

“…A more serious complication in this scenario of an unrecognized ectopic ureter would be injury and disruption of the ureter during radical prostatectomy. Men who have an ectopic ureter inserting into the prostatic urethra typically present with urinary tract infections or lower urinary tract symptoms of urgency and frequency [4,5]. It is unusual for embryological abnormalities of the urinary tract to be diagnosed as an incidental finding when a man undergoes radical prostatectomy.…”

Ejaculatory Duct Obstruction: TRUS-Guided Opacification of Seminal Tracts

“…A diagnostic triad was proposed by MacDonald [18] that includes a boggy mass superior to the prostate, an intravenous urogram with nonvisualization of the ipsilateral renal unit, and symptoms of a lower urinary tract infection. A case in our study (case 12) probably belongs to this category.…”

Renal dysplasia with the ipsilateral ectopic ureter mimicking abscess of the prostate

“…The symptoms are usually related to bladder or cyst distention or secondary to the obstruction of mesonephric duct derivations 3,4 . Endoscopic prostate interventions can cause early and late postoperative complica- tions such as: failure to void, urinary tract infections and transurethral resection syndrome 1, 2 .…”