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[Bilateral ectopic ureteroceles: report of a case]
K Tsumatani1, Y Maruyama, N Hirata
1Department of Urology, Nara Medical University.
Hinyokika Kiyo. Acta Urologica Japonica
|June 1, 1989
Summary
This case report details a 9-year-old girl with bilateral ectopic ureteroceles, a rare condition causing urinary incontinence. Surgical correction led to improved symptoms and reduced kidney swelling.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Urological Surgery
Background:
- Bilateral ectopic ureteroceles with complete duplicated collecting systems are rare congenital anomalies.
- These anomalies can lead to significant urinary tract issues, including incontinence and hydronephrosis.
- Early diagnosis and surgical intervention are crucial for managing these complex conditions.
Observation:
- A 9-year-old female presented with cloudy urine and urinary incontinence.
- Intravenous urography (IVU) demonstrated bilateral complete duplicated collecting systems and upper pole hydronephrosis.
- The patient underwent bilateral ureterovesiconeostomy using a modified Politano-Leadbetter technique.
Findings:
- Postoperative recovery was uneventful.
- Follow-up IVU at 1 year showed resolution of upper pole hydronephrosis.
- Urinary incontinence significantly improved after the surgical procedure.
Implications:
- This case highlights the successful surgical management of a rare bilateral ectopic ureterocele presentation.
- The modified Politano-Leadbetter ureterovesiconeostomy is an effective surgical option for complex ureteral anomalies.
- Further review of similar cases can refine understanding and treatment strategies for bilateral ectopic ureteroceles.