Bilateral single system ectopic ureters with bilateral urethral insertion and horseshoes kidneys in a female child

Harun Wijanarko Kusuma Putra, Gerhard Reinaldi Situmorang, Arry Rodjani, Irfan Wahyudi

Research output: Contribution to journalArticlepeer-review

Abstract

A 14-months old female child was diagnosed with bilateral single system ectopic ureters opening into the urethra, with small bladder capacity, horseshoes kidneys, and bilateral hydronephrosis, presenting recurrent febrile UTI accompanied by continuous incontinence and elevated renal function. Early bilateral re-implantation of the ureters (modified Lich-Gregoir) was done in one setting, resulting jn no recurring febrile UTIs and continuous wetting, improving renal function parameter, competent bladder neck, and 10 folds increased in bladder capacity after 1-year follow up. We showed that earlier treatment enables patient to preserve both renal and bladder function without involving complex reconstructive surgery.

Original languageEnglish
Article number102446
JournalUrology Case Reports
Volume49
DOIs
Publication statusPublished - Jul 2023

Keywords

  • Bilateral ectopic ureter
  • Female child
  • Lich-gregoir technique
  • Single system
  • Ureteral re-implantation

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