[An ectopic ureter which drained into the perianal area].

Area of Science:

• Pediatric Urology
• Congenital Abnormalities

Background:

• Urinary incontinence in children can stem from various causes, including anatomical abnormalities.
• Early diagnosis and intervention are crucial for managing pediatric urological conditions.

Observation:

• A 6-year-old boy presented with urinary incontinence, specifically posterior underwear wetting.
• Diagnostic imaging revealed a left-sided double distal ureter, a rare congenital anomaly.

Findings:

• The patient had a normal orthotopic ureter and a separate, dilated, ectopic ureter.
• The ectopic ureter was connected to the normal ureter and drained into the perianal region.
• Surgical resection of the ectopic ureter was performed.

Implications:

• This case highlights the importance of thorough diagnostic workup for pediatric urinary incontinence.
• Successful surgical management of ectopic ureters can resolve incontinence and improve quality of life.