[Ectopic ureter as cause of pyonephrosis and urinary incontinence].
Ectopic ureter accounts with an incidence of 1 in 2000 newborns. When present, ectopic ureter can be associated with duplex kidneys in an 85 % of the cases. Clinical manifestations of this malformation include incontinence and urinary tract infections. Ectopic ureter frequently occurs in association with a dysplastic upper pole renal moiety. When a poorly functioning upper pole segment is present, a standard surgical treatment is upper pole heminephrectomy. A 23-years old woman presented with left renal colic pain, fever and urinary leak. Ultrasound, intravenous pyelogram and antegrade pyelogram revealed a partial duplex right kidney and a complete duplex left kidney with hydronephrosis and ectopic insertion into the urethra of the left upper pole moiety. Following diagnosis upper pole heminephrectomy and partial ureterectomy was performed.
Martín
Martín S
MS
Servicio de Urología, Hospital Clínico Universitario Valladolid. risimartin7@hotmail.com
García-Ripoll
Torrecilla J R
TJ
Ruíz
Sanz A
SA
Rodríguez
Gonzalo V
GV
Ferro
Rivera J
RJ
del Busto
Fernández E
FE
D000328:Adult; D005260:Female; D006801:Humans; D053018:Pyonephrosis / Q000209:etiology* / Q000601:surgery; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery