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Journal of Indian Association of Pediatric Surgeons
Medknow Publications on behalf of the Indian Association of Pediatric Surgeons
ISSN: 0971-9261
EISSN: 0971-9261
Vol. 12, No. 4, 2007, pp. 202-205
Bioline Code: ip07066
Full paper language: English
Document type: Research Article
Document available free of charge

Journal of Indian Association of Pediatric Surgeons, Vol. 12, No. 4, 2007, pp. 202-205

 en Single system ectopic ureter in females: A single center study
Gangopadhyaya, A.N.; Upadhyaya, Vijay D.; Pandey, Anand; Gupta, D.K.; Gopal, S.C.; Sharma, S.P. & Kumar, Vijayendra

Abstract

The purpose of this study was to inquire into the clinical features and methods for the diagnosis and management of single-system ectopic ureters associated with renal dysplasia.
Materials and Methods: A total of 13 female patients were studied. Main stay of diagnosis was ultrasonography of KUB region and intravenous urography and renal scan was used to confirm the diagnosis. Histopathological evaluation was done in all cases for documentation of renal dysplasia.
Result: In eight cases ectopic ureter with dysplastic kidney was seen on left side and in five it was on right side. All the patients were treated with nephroureterectomy of the affected side because of poor functioning of ipsilateral dysplastic kidney.
Conclusion: Continuous urinary incontinence in females with a normal voiding pattern should prompt an evaluation for ureteric ectopia and when initial evaluation yields diagnosis of solitary kidney the clinician should be aware of the possibility of a hypoplastic and/or dysplastic on one side and normally functioning kidney on opposite side. Nephroureterectomy is the treatment of choice for unilateral single system ectopic ureter with renal dysplasia of affected side.

Keywords
Dysplastic kidney, females, nephroureterectomy, single system ectopic ureter

 
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