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Related Experiment Videos

The single ectopic ureter

A Wakhlu1, D Dalela, R K Tandon

  • 1Division of Pediatric Surgery and Urology, King George's Medical College, Lucknow, U.P., India.

British Journal of Urology
|September 2, 1998
PubMed
Summary
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Ureteric reimplantation preserved renal function in patients with ectopic ureters, regardless of orifice location. However, the degree of renal dysplasia influenced functional improvement after surgery.

Area of Science:

  • Pediatric Urology
  • Renal Function Assessment
  • Congenital Anomalies

Background:

  • Ectopic ureters are congenital anomalies where the ureter empties outside the bladder.
  • Continuous urinary incontinence is a common symptom, particularly in females.
  • Assessing renal function is crucial for treatment planning.

Purpose of the Study:

  • To correlate renal function with the site of the ectopic ureteric orifice.
  • To evaluate the efficacy of ureteric reimplantation in preserving renal function.

Main Methods:

  • Retrospective analysis of 44 patients with single ectopic ureters managed over 21 years.
  • Diagnostic evaluation included intravenous urography, cysto-urethroscopy, vaginoscopy, micturating cysto-urethrography, and ultrasonography.

Related Experiment Videos

  • Renal function assessed pre- and post-operatively, with diuretic renography in select cases.

    • Main Results:

    • No clear correlation found between renal function and ectopic orifice location.
    • Ureteric reimplantation was performed in 15 patients, with 14 achieving continence.
    • Significant renal dysplasia led to nephroureterectomy in 23 patients.

    Conclusions:

    • Renal function is not clearly correlated with the site of the ectopic ureteric orifice.
    • Ureteric reimplantation is effective in preserving renal function.
    • The degree of renal dysplasia impacts functional recovery post-surgery.