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[Refractory urinary incontinence].

J J Rambeaud, G Faure, G Maudrux

    Journal D'Urologie
    |January 1, 1983
    PubMed
    Summary
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    Ectopic ureteral insertion, often missed, can cause adult incontinence. Early diagnosis and surgical excision of the affected renal segment offer a cure for this condition.

    Area of Science:

    • Urology
    • Pediatric Urology
    • Diagnostic Imaging

    Background:

    • Ectopic ureteral insertion is a congenital anomaly where the ureter does not enter the bladder at the normal anatomical location.
    • This condition can lead to significant morbidity, including urinary incontinence, if not diagnosed and treated appropriately.

    Observation:

    • The study reviewed 3 cases where ectopic ureteral insertion was initially missed.
    • Presentations included refluxing urethral insertions and a vaginal ectopic ureter with duplicity.
    • Symptoms, such as urinary stress incontinence, may not manifest until adulthood.

    Findings:

    • Delayed diagnosis of ectopic ureteral insertion can result in failed treatments for incontinence.
    • Radiological findings suggestive of diagnosis include pyeloureteric duplicity or a small, atrophic kidney.

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  • Surgical excision of the renal segment drained by the ectopic ureter led to successful outcomes in the presented cases.

    • Implications:

    • Highlights the importance of considering ectopic ureteral insertion in cases of persistent or adult-onset incontinence.
    • Emphasizes the role of imaging in diagnosing this anomaly.
    • Underscores that targeted surgical intervention can resolve incontinence caused by ectopic ureters.