Related Experiment Videos
Single unilateral vaginal ectopic ureter
1Department of Surgery, Chang Gung Medical College, Taiwan R.O.C.
Insights
This study discusses three young girls with urinary incontinence caused by a single ectopic ureter draining into the vagina. Surgical intervention successfully cured incontinence in all cases.
Area of Science:
- Pediatric Urology
- Female Genitourinary Tract Anatomy
Background:
- Urinary incontinence in young girls can stem from congenital anomalies.
- Ectopic ureters, particularly those draining into the vagina, present unique diagnostic and therapeutic challenges.
Observation:
- Three cases are presented involving girls aged 3-5 years with unilateral ectopic ureters.
- All patients exhibited symptoms of urinary incontinence.
- Vaginoscopy revealed varied presentations of the ectopic ureteral orifice within the vaginal mucosa.
Findings:
- Surgical treatment, including nephroureterectomy and ureteral reimplantation, was performed.
- Complete resolution of urinary incontinence was achieved in all three patients post-surgery.
Implications:
- Early diagnosis and surgical correction of ectopic ureters are crucial for managing urinary incontinence in pediatric patients.
- Vaginoscopy is an effective diagnostic tool for visualizing ectopic ureteral orifices.
Abstract:
Three cases of girls, aged three, four and five years, with a single unilateral ectopic ureter draining into the vagina are discussed. All of the children had urinary incontinence. Vaginoscopy demonstrated different findings of the ectopic ureteral orifice within the vaginal mucosal fold in each child. Of the three patients, two underwent nephroureterectomy and one underwent ureteral reimplantation. Complete cure of urinary incontinence was obtained in all three children after surgery.