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Bladder dysfunction in children with bilateral single ectopic ureters.

M Heuser1, G Zöller, F Seseke

  • 1Goettingen, Germany.

Journal of Pediatric Surgery
|May 3, 2002
PubMed
Summary
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Bilateral single ectopic ureters in children can cause urinary incontinence due to bladder neck issues. Artificial sphincter implantation can resolve this, but timing is crucial for optimal outcomes.

Area of Science:

  • Pediatric Urology
  • Congenital Malformations
  • Voiding Dysfunction

Background:

  • Bilateral single ectopic ureters are rare pediatric urinary tract malformations.
  • Standard ureteral reimplantation may not resolve voiding dysfunction caused by associated bladder trigone and neck abnormalities.

Observation:

  • Two girls with bilateral single ectopic ureters treated with ureteral reimplantation experienced persistent urinary incontinence.
  • Videourodynamic studies revealed no bladder overactivity but demonstrated inadequate bladder neck closure.

Findings:

  • Successful management of incontinence was achieved in one patient with an artificial urinary sphincter.
  • The other patient, aged 7, is awaiting future surgical intervention due to age.

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Implications:

  • Consideration of bladder neck and trigone development is essential when planning surgical interventions for bilateral single ectopic ureters.
  • Artificial urinary sphincter implantation is a viable option for treating refractory incontinence in these cases.