Urology Research & Practice
Case Report

A case of an ectopic ureter with vaginal insertion diagnosed in adulthood

1.

Department of Urology, Harran University Faculty of Medicine, Şanlıurfa, Turkey

2.

Department of Radiology, Harran University Faculty of Medicine, Şanlıurfa, Turkey

Urol Res Pract 2015; 41: 53-55
DOI: 10.5152/tud.2014.81567
Read: 1868 Downloads: 1087 Published: 25 July 2019

Abstract

Ectopic ureter which is one of the causes of urinary incontinence in adults is a rarely seen entity. In this case, diagnosis and treatment of  urinary incontinence in a female patient thought to originate from an ectopic ureter will be evaluated. On magnetic resonance (MR) urograms double collecting system in both kidneys and also grade 3 hydroureteronephrosis in the collecting system which drained the upper pole of the right kidney were seen. The ureter draining the upper pole of the right kidney was seen to open into a 24 mm-wide cystic pouch inside the right lateral wall of the vaginal cuff. During vaginal examination an orifice of 3 mm was observed on the right wall of the vagina. Right ureteroneocystostomy was performed. Ureters with ectopic orifices are very rarely seen causes of urinary incontinence. To establish the diagnosis, this pathology must be recognized, should be kept in mind, and appropriate diagnostic methods must be used.

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