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Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
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Incontinence in a child with a duplex kidney: case report

Toby F Handler, Ellen Shapiro

    Reviews in Urology
    |September 21, 2006
    PubMed

    Insights

    Ectopic ureters, often linked to kidney duplication, can cause persistent incontinence in girls and urinary tract infections in boys. Surgical options vary based on reflux presence, including reimplantation or nephrectomy.

    Area of Science:

    • Urology
    • Pediatric Surgery
    • Nephrology

    Background:

    • Ectopic ureters are congenital anomalies where the ureter does not enter the bladder at the normal location.
    • They are frequently associated with ureteral duplication and other renal parenchymal abnormalities.
    • Clinical presentation varies, impacting diagnosis and management strategies.

    Observation:

    • Persistent incontinence in toilet-trained girls warrants suspicion for an ectopic ureter.
    • Urinary tract infections or epididymitis in prepubertal boys can indicate an ectopic ureter.
    • The presence or absence of vesicoureteral reflux is a critical factor in treatment planning.

    Findings:

    • Ectopic ureters are often identified in conjunction with duplicated kidney structures or parenchymal anomalies.
    • Surgical interventions for ectopic ureters are tailored to the specific anatomical findings and presence of reflux.
    • Treatment options include ureteral reimplantation, ureteroureterostomy, and upper pole nephrectomy.

    Implications:

    • Early suspicion and diagnosis of ectopic ureters are crucial for appropriate management in children.
    • Understanding the association with renal duplication aids in comprehensive patient evaluation.
    • Tailored surgical approaches based on reflux status optimize outcomes for ectopic ureter cases.

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