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Ureteral ectopia in infants and children

J Mandell, S B Bauer, A H Colodny

    The Journal of Urology
    |August 1, 1981
    PubMed
    Summary

    Ureteral ectopia in children is often diagnosed during urinary tract infection evaluations. Management depends on the collecting system, with duplex systems typically requiring heminephrectomy and single systems amenable to ureteral reimplantation.

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    Area of Science:

    • Pediatric Urology
    • Surgical Management
    • Congenital Anomalies

    Background:

    • Ureteral ectopia can present with symptoms like constant wetting in girls or epididymitis in boys.
    • Diagnosis is frequently incidental during the workup for pediatric urinary tract infections.
    • Ectopic ureters are commonly linked to duplex collecting systems with dysplastic upper poles.

    Purpose of the Study:

    • To correlate diagnostic findings with surgical approaches for pediatric ureteral ectopia.
    • To review surgical outcomes for ectopic ureters over an 11-year period.
    • To provide insights into the management of ectopic ureters based on clinical experience.

    Main Methods:

    • Retrospective review of 48 ectopic ureters in 41 children.
    • Analysis of diagnostic findings leading to diagnosis.
    • Evaluation of surgical interventions, including upper pole heminephrectomy and ureteral reimplantation.

    Main Results:

    • Ectopic ureters associated with duplex systems were primarily managed with upper pole heminephrectomy and partial ureterectomy.
    • In cases with single collecting systems, ureteral reimplantation was feasible when salvageable renal function was confirmed preoperatively.
    • The study analyzed 48 cases over 11 years, correlating diagnosis and surgical treatment.

    Conclusions:

    • Surgical management of pediatric ureteral ectopia should be tailored to the underlying collecting system anatomy.
    • Upper pole heminephrectomy is the preferred approach for ectopic ureters in duplex systems.
    • Ureteral reimplantation offers a viable option for ectopic ureters in single systems with preserved renal function.

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