6 Cases of Single Ectopic Ureter in Children

Park, Hyung Min; Kwon, Tae Gyun; Chung, Sung Kwang

Abstract

PURPOSE
Single ectopic ureter is ralatively rare disease. We reviewed 6 cases of single ectopic ureter in children from 1989 and 1997.
MATERIALS AND METHODS
Herein 5 females and 1 male are described with single ectopic ureter associated with a ipsilateral small, hydronephrotic or dysplastic kidney. Six patients varied in age from one month through 11 years. Male to female ratio was 1 to 5.
RESULTS
The chief complaints were total incontinence in 4 and urinary tract infection in 1. One patient had a prenatally diagnosed hydronephrosis with ultrasonography. Ectopic ureteral orifice were identified at the vagina in 4, at the bladder neck in 1 and posterior urethra in 1 patient. The treatment methods were nephrectomy in 4, transurethral incision of ureterocele in 1 and bilateral ureteroneocystostomy in 1.
CONCLUSIONS
The careful history taking, physical examination and the corresponding radiologic studies are essential in diagnosis of single ectopic ureter. And proper operative method may provide excellent results.