Bilateral single system ectopic ureters: case report with literature review

Area of Science:

• Urology
• Pediatric Surgery

Background:

• Bilateral single system ureteral ectopia (BSSEU) is an extremely rare congenital anomaly.
• It often leads to severe urinary incontinence in affected children.
• Achieving urinary continence is challenging due to potential underdevelopment of the bladder neck and trigone.

Purpose of the Study:

• To report a case of BSSEU managed with bilateral ureteric reimplantation.
• To evaluate the efficacy of this surgical approach in achieving urinary continence and improving bladder capacity.
• To demonstrate an alternative to urinary diversion or bladder neck reconstruction.

Main Methods:

• A case of BSSEU in a child was managed surgically.
• The surgical procedure involved bilateral ureteric reimplantation.
• Postoperative outcomes regarding urinary continence and bladder function were assessed.

Main Results:

• The patient achieved satisfactory urinary continence following bilateral ureteric reimplantation.
• Adequate bladder capacity was restored post-surgery.
• The need for urinary diversion or bladder neck reconstruction was avoided.

Conclusions:

• Bilateral ureteric reimplantation can be an effective treatment for BSSEU.
• This surgical technique can successfully restore urinary continence and bladder capacity in selected cases.
• It offers a viable alternative to more invasive procedures like urinary diversion.