Nephron-sparing surgery in a duplex system associated with a vaginal ectopic ureter

Continuous dribbling of urine is the major symptom in girls with an ectopic vaginal ureter. However, the diagnosis is somewhat difficult in girls with such an entity before toilet-training has been achieved. The current concept in the management of these entities is to remove the renal moieties with the vaginal ectopic ureter drain. We report on a case of an obstructed vaginal ectopic ureter associated with a duplicated collecting system which was managed successfully by renal-sparing surgery.