A novel method of transvesicoscopic ureteral reimplantation of an ectopic ureter with a mate ureter in a duplex kidney

2021 ◽  
Author(s):  
Hidenori Nishio ◽  
Kentaro Mizuno ◽  
Daisuke Matsumoto ◽  
Taiki Kato ◽  
Hideyuki Kamisawa ◽  
...  
1975 ◽  
Vol 114 (5) ◽  
pp. 697-699 ◽  
Author(s):  
M.H. Simms ◽  
P.M. Higgins
Keyword(s):  

Author(s):  
Chung-Pin Sheih ◽  
Yang-Jann Liao ◽  
Wen-Tza Lu ◽  
Wei-Jao Chen
Keyword(s):  

2008 ◽  
Vol 31 (3) ◽  
pp. 360-362 ◽  
Author(s):  
C.-P. Chen ◽  
Y.-P. Liu ◽  
J.-P. Huang ◽  
T.-Y. Chang ◽  
F.-J. Tsai ◽  
...  

2019 ◽  
Author(s):  
Austin Hester ◽  
Anthony Atala

The ectopic ureter is an uncommon presentation in the pediatric population, seen in approximately one in 2,000 live births with a female prevalence. However, observation and conservative management have a short-lived role as many of these children are incontinent or symptomatic from an obstructed system. Urgent decompression of an infected system may be required as a temporizing measure before definitive surgical management can be pursued. In this review, we discuss the surgical options available for the ectopic ureter. This includes heminephrectomy of the nonfunctioning renal unit and reconstructive measures such as ureteral reimplantation, ureteroureterostomy, and ureteropyelostomy. We also discuss the management of the remnant ureteral stump and concomitant vesicoureteral reflux.   This review contains 1 figure and 35 references. Key words: cutaneous ureterostomy, ectopic ureter, renal duplication anomalies, heminephrectomy, ureteral reimplantation, ureteropyelostomy, ureteroureterostomy


2017 ◽  
Vol 11 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Ahmed Adam

Objective: To describe a simple, novel method to achieve ureteric access in the Cohen crossed reimplanted ureter, which will allow retrograde working access via the conventional transurethral method. Materials and Methods: Under cystoscopic vision, suprapubic needle puncture was performed. The needle was directed (bevel facing) towards the desired ureteric orifice (UO). A guidewire (with a floppy-tip) was then inserted into the suprapubic needle passing into the bladder, and then easily passed into the crossed-reimplanted UO. The distal end of the guidewire was then removed through the urethra with cystoscopic grasping forceps. The straightened ureter then easily facilitated ureteroscopy access, retrograde pyelogram studies, and JJ stent insertion in a conventional transurethral method. Results: The UO and ureter were aligned in a more conventional orthotopic course, to allow for conventional transurethral working access. Conclusion: A novel method to access the Cohen crossed reimplanted ureter was described. All previously published methods of accessing the crossed ureter were critically appraised.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Demisew Amenu ◽  
Andebet Asmare ◽  
Ahmed Siraj

Abstract Background Diagnosing urinary incontinence from organic causes such as ectopic ureter is particularly important because of the potential for cure by surgical correction. The prevalence of ectopic ureter is uncertain because many are asymptomatic and the diagnosis is usually overlooked. Eighty percent of ectopic ureters in females are often associated with duplex kidney. However, an ectopic ureter draining a single-system ectopic dysplastic/atrophic but functioning kidney is rare, especially in females. The overall long-term continence rate after successful correction of ectopic ureter is satisfactory. Case presentation This case is reported to highlight a rare situation, where a 22-year-old nulligravid Ethiopian women presented with a complaint of continuous wetting of her underwear since childhood, but she had normal voiding pattern. Localized right pelvic kidney ultrasound and computed tomography scan with contrast revealed right ectopic ureter and atrophied ipsilateral pelvic kidney with good function. Surgical reimplantation through vaginal approach was performed, and the outcome was good. The patient’s subsequent follow-ups were uneventful. Conclusion An extramural vaginal ectopic ureter is better accessed through transvaginal approach than abdominal, especially when it is associated with pelvic ectopic kidney. This modified approach is less invasive and has lower morbidity and better success rate than a transabdominal approach.


Sign in / Sign up

Export Citation Format

Share Document