Persistent Incontinence Following Surgery for Ureteric Triplication With Contralateral Duplication-A Management...

Area of Science:

• Urology
• Pediatric Surgery
• Congenital Anomalies

Background:

• Ureteral triplication is a rare congenital anomaly with varied presentations.
• Incontinence in ureteral triplication is often attributed to ureteral ectopia.
• However, ureteral ectopia does not fully explain all cases of incontinence.

Observation:

• A 14-year-old girl presented with ureteral triplication and contralateral duplication.
• She had upper moiety duplication with vesicoureteral reflux and a dysplastic upper moiety.
• Persistent incontinence occurred after left ureteroureterostomy and right heminephrectomy.

Findings:

• The complex urinary tract anomalies contributed to persistent postoperative incontinence.
• This case challenges the sole explanation of ureteral ectopia for incontinence in ureteral triplication.
• Management of this rare postoperative situation required careful consideration.

Implications:

• This case underscores the need for comprehensive evaluation of urinary tract anomalies.
• It suggests that other factors beyond ureteral ectopia can cause incontinence in ureteral triplication.
• Further research into the management of complex ureteral anomalies and associated incontinence is warranted.