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Persistent Urinary Incontinence: A Case Series of Missed Ectopic Ureters

Ming-Hsien Wang1

  • 1Department of Urology, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Urology Case Reports
|January 22, 2016
PubMed

Insights

Ectopic ureters, a rare cause of childhood incontinence, often require medical intervention. This case series highlights diagnostic approaches for persistent urinary incontinence in children with missed ectopic ureters.

Area of Science:

  • Pediatric Urology
  • Medical Diagnostics

Background:

  • Ectopic ureter is a rare congenital anomaly.
  • Urinary incontinence in children can have significant psychological effects.
  • Spontaneous resolution of symptomatic ectopic ureters is unlikely.

Observation:

  • Presents a case series of two older children with undiagnosed ectopic ureters.
  • Focuses on persistent urinary incontinence as the primary symptom.
  • Highlights diagnostic challenges in cases missed by the urologic community.

Findings:

  • Emphasizes the importance of thorough patient history and physical examination.
  • Underscores the value of reviewing embryological development in diagnosis.
  • Radiographic evaluations are crucial for identifying ectopic ureters.

Implications:

  • Suggests a structured workup protocol for persistent pediatric urinary incontinence.
  • Aids in timely diagnosis and management of ectopic ureters.
  • Aims to reduce the psychological burden on affected children through earlier intervention.

Keywords:
Ectopic ureterPediatric incontinenceUrologic imaging

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