Bifid and double ureters are rare congenital urinary tract anomalies. Diagnosis relies on cystoscopy and pyelogram, with surgical intervention for symptomatic cases.
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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2008
Area of Science:
Urology
Congenital Anomalies
Background:
Bifid and double ureters are uncommon congenital abnormalities of the upper urinary tract.
These anomalies are often discovered incidentally during other medical evaluations.
Purpose of the Study:
To review the diagnosis and management of bifid and double ureters.
To highlight the association with urinary tract infections and diagnostic methods.
Main Methods:
Review of diagnostic techniques including urethral cystoscopy and retrograde pyelography.
Analysis of treatment strategies based on patient symptoms and infection status.
Main Results:
Diagnosis is typically confirmed through cystoscopy and retrograde pyelogram.
Asymptomatic patients generally do not require treatment.
Conclusions:
Bifid and double ureters are rare congenital anomalies.
Symptomatic patients or those with urinary tract infections may require surgical intervention, such as blind branch excision and ureteral reimplantation.