scholarly journals Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney

2021 ◽  
Vol 9 (4) ◽  
pp. 133-141
Author(s):  
G. A. Makarov ◽  
V. V. Sizonov ◽  
V. M. Orlov ◽  
V. V. Vigera
Keyword(s):  
Urinary Tract Infection ◽  
Uric Acid ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Endoscopic Treatment ◽  
Recurrent Urinary Tract Infection ◽  
Morphological Changes ◽  
Upper Urinary Tract ◽  
Ectopic Ureter ◽  
Histopathological Changes

Extravesical ureter ectopia is a rare cause of urinary incontinence. We are reporting a case of a 3-year-old girl with urinary incontinence. The girl was observed and treated for recurrent urinary tract infection (UTI) against the background of left-side duplication of the upper urinary tract and vesicoureteral reflux (VUR). Two-time endoscopic treatment using a dextranomer/hyaluronic acid allowed to eliminate VUR on both sides and achieve stable clinical and laboratory remission of UTI. After potty training, the child had a constant drip of urine along with normal urination. The examination revealed extravesical ureter ectopia of the left duplicated kidney upper pole and a bladder space-occupying mass with hyperdensive inclusions in the projection of the vesical trigone on the left, which we regarded as a result of the migration of the implant and the appearance of histopathological changes in it. The presence of a bladder space-occupying mass determined the choice of the surgical technique in favor of the formation of a ureterocystoanastomosis with a duplicated ectopic ureter and the removal of a bladder space-occupying mass. When managing patients after endoscopic treatment of VUR, it should be considered the possibility of morphological changes in the bulking agent due to the accumulation of calcium and uric acid salts.

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 A unusual case of 356 vesical calculii

2012 ◽  
Vol 8 (1) ◽  
pp. 44-47
Author(s):  
A Agarwal ◽  
G Sigdel ◽  
SR KC ◽  
P Shrestha ◽  
WK Belokar
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Tract Infection ◽  
Recurrent Urinary Tract Infection ◽  
Outlet Obstruction ◽  
Upper Urinary Tract ◽  
Uneventful Recovery ◽  
Urinary Bladder Calculi ◽  
History Of

Multiple vesical calculi are rarely seen in urological practice. Males are affected more than the females. Vesical calculi are usually secondary to bladder outlet obstruction. These patients present with recurrent urinary tract infection, haematuria or with retention of urine. We report a 43 years male patient who presented with acute urinary retention. He had history of trauma over perineal region three years back following which he had recurrent urinary tract infection and thinning of stream. USG abdomen revealed normal upper urinary tract with echogenic debris in partially filled urinary bladder. Renal function test was with in normal limit. Per urethral catheterization failed and over antibiotic cover, patient was posted for cystourethroscopy followed by suprapubic cystostomy under spinal anaesthesia. Membranous urethral stricture found during urethroscopy could be managed by optical internal urethrotomy. On cystoscopy whole of bladder was filled with thick pus like material with multiple large urinary bladder calculi. Open cystolithotomy was done and we were surprised to see 356 stones of various size and shape after removal. Patient made uneventful recovery and discharged after 12 days of hospital stay. Journal of College of Medical Sciences-Nepal,2012,Vol-8,No-1, 44-47 DOI: http://dx.doi.org/10.3126/jcmsn.v8i1.6825

Paediatric urology

2019 ◽  
pp. 669-730
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Incontinence ◽  
Urinary Tract ◽  
Nocturnal Enuresis ◽  
Vesicoureteric Reflux ◽  
Ectopic Ureter ◽  
Fourth Edition ◽  
Paediatric Urology ◽  
Management Recommendations ◽  
Guidelines And Recommendations

This chapter covers paediatric urology, and the fourth edition includes the latest guidelines and recommendations (National Institute for Health and Care Excellence 2013, British Association of Paediatric Urologists 2015). The embryology of the urinary and genital tracts is detailed. The presentation of undescended testes, vesicoureteric reflux, and urinary tract infection and their current management recommendations are included. New sections in the fourth edition include paediatric trauma, nephrolithiasis, uro-physiology, and the foreskin. Megaureter, ectopic ureter, and ureterocele are also covered in detail. Hypospadias and epispadias are covered. This chapter also includes the assessment and management of children with urinary incontinence and nocturnal enuresis.

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