Rare cases of ectopic ureter: Analysis from a single centre with review of the literature

Özet

Objective: Purpose of our study was to aggregate and analyse rare cases of Ectopic Ureter (EU), their association with other anomalies, clinical features, diagnosis and management.Material and methods: A total of nine patients with rare presentation of EU were evaluated. Combinationof endoscopic and imaging modalities was used as required to define the anatomy and devise the best surgical approach in these cases.Results: Among six females and three males with EU, four cases had bilateral EU, four unilateral EU andone case had EU of a solitary kidney. Urinary incontinence was encountered in five cases including one malepatient whilst other cases presented with varied clinical features and associated anomalies. Two patients hadanorectal malformations, and two had uterine anomalies in the form of bicornuate uterus. Other patients hadmultiple rare associations such as triplication of ureter, bilateral absence of seminal vesicles with infertility,multicystic dysplastic kidney, ureter draining in uterus, renal failure, absence of bladder trigone, and hypospadias etc. Ureteric reimplantation was performed in four cases, two required ureteroureterostomy, anothertwo had undergone upper pole nephrectomy and in one case renal transplant had been carried out owing tochronic renal failure.Conclusion: EU is among group of those congenital entities which remain shrouded until adulthood, whensymptoms become distressing. Fortunately, prognosis is favourable after surgical correction, in spite of itsrarity. Complexity arises when other associated anomalies are identified