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Crossed ureteral ectopia with an ectopic blind-ending ureter
1Department of Urology, Tohoku University School of Medicine, Sendai, Japan.
Urologia Internationalis
|January 1, 1995
Summary
A rare case of pediatric urinary incontinence was successfully treated by correcting multiple urological anomalies, including a left ectopic ureter and right complete double ureters. The study proposes a novel embryological explanation for these complex congenital urinary tract abnormalities.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Embryology
Background:
- Urinary incontinence in children can stem from complex urological anomalies.
- Understanding the embryological basis of these anomalies is crucial for diagnosis and treatment.
Observation:
- A 12-year-old girl presented with urinary incontinence due to a left ectopic blind-ending ureter and right complete double ureters with an ectopic orifice.
- Radiologic and endoscopic examinations confirmed these rare multiple urological anomalies.
Findings:
- Surgical correction (right ureteroneocystostomy) resolved the patient's urinary incontinence.
- A detailed embryological hypothesis involving multiple ureteral bud formations and abnormal migration is proposed to explain the observed anomalies.
Implications:
- This case highlights the importance of thorough investigation for complex urological anomalies in pediatric urinary incontinence.
- The proposed embryological explanation offers new insights into the development of crossed ureteral ectopia and related conditions.
- Accurate terminology, such as "crossed ureteral ectopia," is essential for classifying these rare congenital abnormalities.