Blind-ending bifid ureter with an intravesical ectopic orifice

Area of Science:

• Urology
• Congenital Anomalies
• Surgical Techniques

Background:

• Congenital anomalies of the urinary tract, such as ureteral duplications, can present with varied clinical manifestations.
• Blind-ending bifid ureters represent a rare subtype of these anomalies, sometimes leading to complex clinical scenarios.
• Unspecific symptoms may delay diagnosis and necessitate intervention.

Observation:

• This case highlights a rare presentation of a blind-ending bifid ureter.
• The anomaly was associated with an intravesical ectopic orifice, a specific anatomical variation.
• Recurrent urinary tract infections were the primary clinical issue prompting surgical consideration.

Findings:

• Surgical excision of the blind ureteral branch was performed.
• Ureteroneocystostomy, a reconstructive procedure, was utilized to restore urinary continuity.
• The psoas-hitch technique was employed for the ureteroneocystostomy.

Implications:

• This case demonstrates a successful surgical approach for managing a complex blind-ending bifid ureter.
• The psoas-hitch ureteroneocystostomy is a viable option for treating such rare congenital anomalies.
• Effective management of these anomalies can prevent recurrent infections and improve patient outcomes.