The Single Ectopic Ureter

Johnston, J. H.; Davenport, T. J.

doi:10.1111/j.1464-410x.1969.tb09944.x

Cited by 53 publications

(16 citation statements)

References 6 publications

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“…Dysplastic kidneys are prone to become infected and the excised specimens in Cases 3 and 4 showed severe chronic pyelonephritis. Contrary to the views so far published (Johnston and Davenport, 1969;Williams and Royle, 1969) that the more distal the orifice the more severe the malformation, the severity of kidney abnormalities found in our series was unrelated to the site of the orifice.…”

Section: Renal Abnormalitiescontrasting

confidence: 99%

“…Deformities of the trigone and bladder neck, especially in bilateral cases (Chun and Braga, 1965;Cox and Hutch, 1966), have also been noted. We believe that genital and anal anomalies, prominent in our series and also mentioned in some other reports (Uson and Donovan, 1959;Johnston and Davenport, 1969), add a new dimension to the problem. So also does the high incidence of abnormalities in contralateral kidneys without ureteric ectopia.…”

supporting

confidence: 80%

“…Mention has been made in most articles on unduplicated ectopic ureters (Johnston and Davenport, 1969;Kesavan and Ramakrishnan, 1973;Mogg, 1974), which have usually comprised only a few case reports, of the dysplastic nature of the kidney and ureter. Deformities of the trigone and bladder neck, especially in bilateral cases (Chun and Braga, 1965;Cox and Hutch, 1966), have also been noted.…”

mentioning

confidence: 99%

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Ectopia in Unduplicated Ureters in Children

Kesavan

Ramakrishnan

Fowler

1977

British Journal of Urology

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The clinico-pathological features and surgical management of 19 unduplicated ectopic ureters in 15 children are presented with special reference to the problems of recognition and treatment and to the underlying embryological and pathological significance of the wide-ranging associated abnormalities. The high incidence of renal and ureteric malformations, both ipsilateral and contralateral, is emphasised, as is also the frequent co-existence of vesical, bladder neck, urethral, genital and anal abnormalities. These associated anomalies modify the presentation of unduplicated ureteric ectopia and may mask its presence. Late recognition is common, but may be avoided by awareness of the problem. Whereas the degree of kidney involvement seems to dictate the choice and priorities of surgical treatment, the lower urinary tract anomalies have more significance as regards continuing disability and these largely determine the outcome in relation to continence.

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Section: Renal Abnormalitiescontrasting

confidence: 99%

supporting

confidence: 80%

mentioning

confidence: 99%

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Ectopia in Unduplicated Ureters in Children

Kesavan

Ramakrishnan

Fowler

1977

British Journal of Urology

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“…This anomaly comprises a variety of ureteral insertion shifting from nearly normal to extravesical location. In men the extravesical ectopic orifice is always suprasphincteric and enters the prostatic urethra, seminal vesical, ejaculatory duct or vas deferens 4. In women the ectopic orifice may be either suprasphincteric or infrasphincteric, with most common insertion being into the urethra or vestibule and rarely it may insert into fallopian tube, cervix or vagina 8 9.…”

Section: Discussionmentioning

confidence: 99%

Normal functioning single system ectopic ureter draining into a Gartner’s cyst: laparoscopic management

et al. 2013

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Association of single system ectopic ureter with normal functioning bilateral kidney and absence of congenital anomalies is very rarely reported in the literature. We are reporting for the first time a case of this type of anomaly in which uretral ectopia was draining into a Gartner's cyst and was managed by laparoscopy. A 16 year girl presented with normal voiding with continuous dribbling since birth. Voiding cystourethrogram, intravenous urogram, cystovaginoscopy and retrograde contrast study confirmed the diagnosis. Ultrasound of the whole abdomen and physical examination ruled out any associated congenital anomalies. Transperitoneal laparoscopic ureteric reimplantation was performed and distal stump was ligated. On follow-up at 3 months she was completely dry; her vaginoscopy showed disappearance of cystic bulge and her voiding cystourethrogram showed normal study without any reflux. When single system ectopic ureter opens into small-to-moderate size wide opened mouth vaginal Gartner's cyst, laparoscopic ureteric reimplantation and ligation of distal stump is an appropriate procedure.

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“…Ectopic ureters occur with a reported incidence of one in 1900 children [7]. The anatomy is most common in females (85%), and the ectopic ureter drains an upper pole moiety of a duplex system in 80% of cases [7][8][9][10] (Fig. 4).…”

Section: Discussionmentioning

confidence: 99%