Endoscopic stone management in an ectopic ureter inserting into the prostatic urethra.

Area of Science:

• Urology
• Endourology
• Medical Case Reports

Background:

• Complete duplex collecting systems are rare congenital anomalies.
• Ectopic ureteric insertion, particularly into the prostatic urethra, presents diagnostic and management challenges.
• Ureteric stones in ectopic ureters require careful anatomical assessment and tailored endoscopic approaches.

Observation:

• A patient presented with a complete duplex collecting system and an obstructing ureteric stone in the distal portion of an ectopically inserted upper moiety ureter.
• The ectopic insertion into the prostatic urethra complicated initial imaging interpretation and emergency stone management.
• Endoscopic management was successfully employed despite the complex anatomy.

Findings:

• Successful endoscopic stone removal was achieved in a challenging case of ectopic ureteric insertion.
• The case underscores the importance of detailed pre-operative imaging and planning for complex urological anomalies.
• This approach demonstrates the feasibility of minimally invasive techniques in managing ureteric stones associated with duplex systems.

Implications:

• Clinicians should consider ectopic duplex ureters when encountering challenging urinary tract stone cases.
• Accurate imaging interpretation and a well-planned operative strategy are crucial for successful outcomes.
• Understanding the implications of ectopic ureters is vital for managing future urological procedures like prostate surgery.