[Ectopic implantation of the ureter. Apropos of 2 cases]

Area of Science:

• Urology
• Pediatric Surgery
• Medical Case Reports

Background:

• Ectopic ureteral implantation is a congenital anomaly where the ureter empties outside the bladder.
• Pyeloureteral duplication involves a duplication of the renal pelvis and ureter.
• Urinary incontinence can be a presenting symptom in pediatric patients with these anomalies.

Observation:

• Two female patients, aged 14 and 18, presented with urinary incontinence.
• Both patients were diagnosed with ectopic ureteral implantation associated with pyeloureteral duplication.
• This highlights a less common presentation of this specific congenital anomaly.

Findings:

• The ectopic ureteral orifice was identified as the cause of persistent urinary leakage and incontinence.
• Surgical correction of the ectopic ureter and management of the duplication were considered.
• Review of global literature indicates varied presentations and management strategies for this condition.

Implications:

• Early diagnosis and surgical intervention are crucial for managing incontinence in pediatric patients with ectopic ureters.
• Understanding the spectrum of ectopic ureteral implantation and pyeloureteral duplication is important for urologists and pediatric surgeons.
• This case series contributes to the existing knowledge base on managing complex urinary tract anomalies in adolescents.