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[Ectopic ureter].

L Musi1, P Campobasso, F Cappellari

  • 1Divisione di Chirurgia Pediatrica, Sezione di Urologia, Ospedale Regionale di Vicenza, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|March 1, 1989
PubMed
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Ectopic ureter, a rare congenital anomaly, often presents with urinary incontinence in females and infections in males. Surgical intervention is key, with outcomes varying based on ectopy laterality and associated renal conditions.

Area of Science:

  • Pediatric Urology
  • Congenital Malformations
  • Urinary Tract Abnormalities

Background:

  • Ectopic ureter is a rare congenital anomaly affecting the urinary tract.
  • It is more prevalent in females and can present with varied anatomical complexities and associated malformations.
  • Clinical manifestations include urinary incontinence (pseudoincontinence) in females and urinary tract infections.

Purpose of the Study:

  • To analyze the clinical presentation, surgical management, and outcomes of ectopic ureters in children.
  • To evaluate different surgical approaches for correcting ectopic ureters.
  • To assess factors influencing treatment success in unilateral versus bilateral cases.

Main Methods:

  • Retrospective review of 51 children with 54 cases of ectopic ureters.

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  • Surgical interventions included total exeresis (heminephroureterectomy or nephroureterectomy), ureteral reimplantation, and uretero-pyeloanastomosis.
  • Analysis of treatment outcomes based on laterality and associated renal pathology.

    • Main Results:

    • Surgical treatment was performed in all cases, with 38 undergoing total exeresis and 9 ureteral reimplantations.
    • Outcomes were generally satisfactory in unilateral cases.
    • Bilateral forms with single ectopic ureters showed more uncertain outcomes due to incontinence and potential renal failure.

    Conclusions:

    • Surgical correction is the standard treatment for ectopic ureters.
    • Unilateral ectopy typically has a favorable prognosis post-surgery.
    • Bilateral ectopic ureters, especially single system ones, present significant challenges regarding incontinence and renal function preservation.