Related Experiment Videos
Single system ectopic ureteroceles with anomalies of the heart, testis and vas deferens
Insights
This study examines seven children with single system ectopic ureteroceles, finding associated anomalies like kidney dysplasia and cardiac issues. The research highlights unique male predominance and rare vas deferens abnormalities in this patient group.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Medical Case Series
Background:
- Ectopic ureteroceles are congenital anomalies where the ureter enters the bladder abnormally.
- Single system ectopic ureteroceles are less common than duplicated system variants, which predominantly affect females.
- Associated anomalies can impact diagnosis and management.
Purpose of the Study:
- To describe the clinical characteristics and associated anomalies in a series of children with single system ectopic ureteroceles.
- To highlight the male predominance in this specific subtype of ectopic ureterocele.
- To report rare co-occurring genitourinary and cardiac anomalies.
Main Methods:
- Retrospective case series analysis.
- Review of clinical data for 7 pediatric patients diagnosed with single system ectopic ureteroceles.
- Documentation of presenting symptoms, associated anomalies, and management.
Main Results:
- Seven children (6 males) were identified with single system ectopic ureteroceles.
- Only 2 patients presented with symptoms of infection or obstruction.
- Associated anomalies included ipsilateral non-functioning kidney (71%), major congenital cardiac anomalies (57%), and abdominal testes with vas deferens abnormalities (43%).
- One case of bilateral atresia of the vas deferens with abdominal testes was reported.
Conclusions:
- Single system ectopic ureteroceles in children exhibit a male predominance and are frequently associated with significant renal, cardiac, and genitourinary anomalies.
- The high prevalence of non-functioning kidneys and cardiac defects underscores the need for comprehensive evaluation.
- Rare presentations, such as bilateral vas deferens atresia, expand the understanding of associated genitourinary malformations.
Abstract:
We report a series of 7 children with single system ectopic ureteroceles. Our study included 6 boys, unlike the more common duplicated system ectopic ureterocele, that occurs 4 to 6 times more often in female patients. The presenting symptoms or signs were related to infection or obstruction in only 2 of our 7 patients. An ipsilateral non-functioning hypoplastic dysplastic kidney was present in 5 children (71%). Of the 7 children 4 had major congenital cardiac anomalies. Three boys had abdominal testes, including 2 with bilateral non-union of the vas deferens, 1 of whom represents the first reported case of bilateral atresia of the vas deferens with abdominal testes.