Robotic partial nephrectomy for duplex kidney with ectopic ureter draining in the vagina in an adult patient with urinary incontinence.
A duplex kidney system with an ectopic ureter draining into the vagina is a congenital malformation that typically presents as refractory urinary incontinence. Diagnosis is often difficult to establish and delayed due to a low incidence. We present the case of a patient aged 26 years with a life-long history of persistent urinary incontinence. Initial presentation was at childhood; however, the diagnosis went undetermined for 22 years. CT urography revealed a duplex kidney with an atrophic upper pole associated with an ectopic ureter that drained into the vaginal vault. This is the first description of such a case being managed successfully via a robot-assisted partial nephrectomy approach. Ectopic ureteral duplication should be considered in the differential diagnosis for young women with refractory urinary incontinence. Robotic partial nephrectomy is a safe and effective technique to manage such cases.
Princess Alexandra Hospital NHS Trust, Harlow, Essex, UK.
Humza
H
Mahmood
Department of Urology, St George's Hospital, London, UK.
Marios
M
Hadjipavlou
Department of Radiology, St George's Hospital, London, UK.
Raj
R
Das
Department of Urology, St George's Hospital, London, UK.
Chris
C
Anderson
D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery; D009392:Nephrectomy / Q000379:methods*; D065287:Robotic Surgical Procedures; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology* / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery