Urinary incontinence in a dog with a duplex renal system and extramural ectopic ureter

2021 ◽  
Author(s):  
Z. P. Greenfield ◽  
A. C. Berent ◽  
C. W. Weisse
Keyword(s):  
Urinary Incontinence ◽  
Ectopic Ureter ◽  
Renal System

Ectopic Ureter in an Adolescent Female Presenting With Primary Nocturnal Enuresis and New Onset Urinary Incontinence

2011 ◽  
Vol 185 (2) ◽  
pp. 689-689 ◽  
Author(s):  
Boyd R. Viers ◽  
Landon W. Trost ◽  
Stephen A. Kramer
Keyword(s):  
Urinary Incontinence ◽  
Nocturnal Enuresis ◽  
Ectopic Ureter ◽  
Adolescent Female ◽  
Primary Nocturnal Enuresis ◽  
New Onset

Ectopic ureter as an unusual cause of urinary incontinence in a middle-aged woman

2016 ◽  
Vol 28 (1) ◽  
pp. 159-160
Author(s):  
Eric J. Fichtenbaum ◽  
Aparna D. Shah ◽  
Ayman Mahdy
Keyword(s):  
Urinary Incontinence ◽  
Ectopic Ureter ◽  
Middle Aged ◽  
Aged Woman ◽  
Middle Aged Woman

Urinary Incontinence in a Dog With an Ectopic Ureterocele

2002 ◽  
Vol 38 (1) ◽  
pp. 29-32 ◽  
Author(s):  
Sarah J. Lautzenhiser ◽  
Dale E. Bjorling
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Urethral Diverticulum ◽  
Excretory Urography ◽  
Ectopic Ureter ◽  
Ectopic Ureterocele ◽  
Distal Ureter ◽  
Tract Infections

A 7-month-old, female English cocker spaniel was examined because of a complaint of urinary incontinence. Excretory urography revealed a small right kidney and right-sided hydroureter, ectopic ureter, and ureterocele. Ureteronephrectomy and ovariohysterectomy were performed, but the distal ureter and ureterocele were left in situ. Recurrent urinary tract infections and intermittent urinary incontinence persisted after surgery. Vaginourethrography demonstrated the presence of a urethral diverticulum associated with the ureterocele. Ureterocelectomy was performed, and the dog remains continent 4 years after ureterocelectomy. Persistent urinary incontinence and urinary tract infection were attributed to failure to resect the ureterocele.

scholarly journals Use of Monopolar Cauterization for Ectopic Intramural Ureter Correction by Cystoscopy in Bitch

2019 ◽  
Vol 47 ◽  
Author(s):  
Ariele Aparecida Ferreira ◽  
Neíse Nathalie Guariza Tortato ◽  
William Timboni Teixeira ◽  
Vinicius Gonzales Peres Albernaz ◽  
Roberto Carareto ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Surgical Repair ◽  
Case Reports ◽  
Urinary Continence ◽  
Invasive Technique ◽  
Limiting Factor ◽  
Ectopic Ureter ◽  
Lower Urinary Tract Infection ◽  
English Bulldog

Background: The ectopic ureter (EU) is considered a congenital anomaly in which the ureteral aperture opens in a position other than the bladder neck. The diagnosis involves the use of different methods or combination of image exams, including excretory urography, pneumocystography, ultrasonography, cystoscopy and computed tomography. The technics for surgical repair should be considered evaluating the number and functionality of the EU, the location of the ureteral opening, functional condition of ipsilateral kidney and the presence of other abnormalities. The case reports aims to show the surgical repair of an intramural EU in an English Bulldog bitch by cystoscopy-guides monopolar cautery.Case: A 1-year-old English Bulldog bitch received medical care due to a history of urinary incontinence since a few months of life. The animal had laboratory abnormalities compatible with lower urinary tract infection, followed by a profound growth of Klebsiella sp in urine culture, and received antibiotic treatment for 21 days based on antibiogram results. Due to a suspect EU, a urinary tract tomography was performed and indicated a congenital kidney malformation (renal dysplasia), enlargement and distal insertion of the left ureter (in comparison with the contralateral one), rising suspiciously of its intramural progression. We choose to proceed to cystoscopy examination, in which both right and left ureteral ostium could be seen in the urethral region. A guide of a pigtail catheter was inserted through both ureteral ostia in order to orient the ureteral incision. The monopolar cautery was inserted in cystoscopy working channel to section the mucosa of EU channel on urethra region, separating the lumen of EU from the urethra and extending the incision cranially inside the urinary bladder lumen. After a complete section of the ectopic tissue, a pigtail urinary catheter was correctly placed in both ureters. After bilateral repair of EU, the bitch showed a significative decrease of urinary incontinence, although completer resolution could not be obtained.Discussion:Studies showing the treatment of EU using the ablation of the tissue separating the ureteral and urethral or bladder lumen using cystoscopy-guided laser showed lower post-operative pain and hospitalization time, besides being a minimally invasive technique in comparison with traditional surgery. The limiting factor is the specialized equipment required for the procedure. In our surgical routine, there is a cystoscope, however, we do not own a diode laser or radiofrequency equipment. The adaptation of a monopolar cautery with the objective of correct an intramural EU proved to be feasible in practice since we achieved satisfactory recovery of the patient, similar than what is seen with lasers. Even after surgical repair of both EU, the patient sustained urinary incontinence, although lesser than before surgery. The remaining of the clinical sign, in this case, is compatible with the low rate of postoperative urinary continence in bitches, irrespective of the surgical technique, varying between 25% and 58% with or without medical treatment. To our knowledge, there was no published report on the use of monopolar cautery to treat EU. The monopolar cautery can be used as a less invasive and alternative technique to traditional surgery in the treatment of intramural EU through cystoscopy in bitches.

scholarly journals Urinary Incontinence in Children, Ectopic Ureter and Ureterocele

2018 ◽  
pp. 347-354
Author(s):  
Subhasis Roy Choudhury
Keyword(s):  
Urinary Incontinence ◽  
Ectopic Ureter

Neoureterocystostomy for the management of extramural ectopic ureter with concurrent contralateral renal aplasia in two dogs

2019 ◽  
Vol 7 (2) ◽  
pp. e000766 ◽  
Author(s):  
Luca Bresciani ◽  
Josep Aisa ◽  
Jonathan Bray ◽  
Audrey Petite ◽  
Susanna Spence
Keyword(s):  
Urinary Incontinence ◽  
Blood Count ◽  
Complete Blood Count ◽  
Clinical Signs ◽  
Abdominal Distension ◽  
Abdominal Imaging ◽  
The Other ◽  
Ectopic Ureter ◽  
Renal Aplasia ◽  
Routine Investigations

Two male puppies were presented: one with urinary incontinence and the other with abdominal distension and discomfort. A diagnosis of unilateral extramural ectopic ureter with associated hydronephrosis/hydroureter and contralateral renal aplasia was confirmed in both patients by a combination of abdominal imaging and exploratory coeliotomy. Both patients were also diagnosed with cryptorchidism ipsilateral to the renal aplasia. Routine investigations, including complete blood count, biochemistry and urinalysis, were otherwise unremarkable. Neoureterocystostomy with an intravesical technique and castration were performed in both patients. One month following surgery, severity of clinical signs, the degree of hydronephrosis/hydroureter and elevation of renal blood values had all improved in both patients.

Ectopic ureter with urinary incontinence. An unusual presentation of Mayer-Rokitansky-Kuster-Hauser syndrome

2003 ◽  
Vol 14 (1) ◽  
pp. 64-66 ◽  
Author(s):  
M.S. Ansari ◽  
N.P. Gupta ◽  
A. Kriplani
Keyword(s):  
Urinary Incontinence ◽  
Unusual Presentation ◽  
Ectopic Ureter

Diagnosis of ectopic ureter as a cause of urinary incontinence

2007 ◽  
Vol 3 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Gregory R. Hanson ◽  
John M. Gatti ◽  
George K. Gittes ◽  
J. Patrick Murphy
Keyword(s):  
Urinary Incontinence ◽  
Ectopic Ureter
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