Ectopic Ureter: Report of II Cases

Lee, Thee Yong; Yoon, Jong Byung

Abstract

An ectopic ureter inserts at a point other than superolateral portion of the trigone of the bladder. The diagnosis maybe suspected the girl who wets constantly with normal voiding and in the young boy with epididymitis. Based on our experiences with II ectopic ureters operated on during the last 14 years, the diagnostic findings and the surgical approaches were discussed. The results were as follows. 1. There were 10 single ectopic ureters and one ureter with completed duplex system. 2. All cases were female, of them nine were between 2 and 10 years old at the time of operation. 3. Urinary incontinence was the most common presenting symptom. 4. IVP showed ipsilateral non-visualized kidney in 6 cases, moderate hydronephrosis in 3 and normal kidney in 2. 5. Operations were performed with ureteroneocystostomy in 7 cases, nephrectomy and partial ureterectomy in 3 and nephrectomy and total ureterectomy in one. 6. Histopathologic findings in 4 nephrectomized cases demonstrated renal dysplasia in 3 and severe chronic pyelonephritis in one.