Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney
Extravesical ureter ectopia is a rare cause of urinary incontinence. We are reporting a case of a 3-year-old girl with urinary incontinence. The girl was observed and treated for recurrent urinary tract infection (UTI) against the background of left-side duplication of the upper urinary tract and ve...
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| Format: | Article |
| Language: | Russian |
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Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education
2021-12-01
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| Series: | Вестник урологии |
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| Online Access: | https://www.urovest.ru/jour/article/view/510 |
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| author | G. A. Makarov V. V. Sizonov V. M. Orlov V. V. Vigera |
| author_facet | G. A. Makarov V. V. Sizonov V. M. Orlov V. V. Vigera |
| author_sort | G. A. Makarov |
| collection | DOAJ |
| description | Extravesical ureter ectopia is a rare cause of urinary incontinence. We are reporting a case of a 3-year-old girl with urinary incontinence. The girl was observed and treated for recurrent urinary tract infection (UTI) against the background of left-side duplication of the upper urinary tract and vesicoureteral reflux (VUR). Two-time endoscopic treatment using a dextranomer/hyaluronic acid allowed to eliminate VUR on both sides and achieve stable clinical and laboratory remission of UTI. After potty training, the child had a constant drip of urine along with normal urination. The examination revealed extravesical ureter ectopia of the left duplicated kidney upper pole and a bladder space-occupying mass with hyperdensive inclusions in the projection of the vesical trigone on the left, which we regarded as a result of the migration of the implant and the appearance of histopathological changes in it. The presence of a bladder space-occupying mass determined the choice of the surgical technique in favor of the formation of a ureterocystoanastomosis with a duplicated ectopic ureter and the removal of a bladder space-occupying mass. When managing patients after endoscopic treatment of VUR, it should be considered the possibility of morphological changes in the bulking agent due to the accumulation of calcium and uric acid salts. |
| format | Article |
| id | doaj-art-41d777435c4341cf8bb62887264c9080 |
| institution | Kabale University |
| issn | 2308-6424 |
| language | Russian |
| publishDate | 2021-12-01 |
| publisher | Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education |
| record_format | Article |
| series | Вестник урологии |
| spelling | doaj-art-41d777435c4341cf8bb62887264c90802025-08-20T03:57:12ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242021-12-019413314110.21886/2308-6424-2021-9-4-133-141352Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidneyG. A. Makarov0V. V. Sizonov1V. M. Orlov2V. V. Vigera3Rostov-on-Don Regional Children's Clinical HospitalRostov-on-Don Regional Children's Clinical Hospital; Rostov State Medical UniversityRostov-on-Don Regional Children's Clinical HospitalRostov State Medical UniversityExtravesical ureter ectopia is a rare cause of urinary incontinence. We are reporting a case of a 3-year-old girl with urinary incontinence. The girl was observed and treated for recurrent urinary tract infection (UTI) against the background of left-side duplication of the upper urinary tract and vesicoureteral reflux (VUR). Two-time endoscopic treatment using a dextranomer/hyaluronic acid allowed to eliminate VUR on both sides and achieve stable clinical and laboratory remission of UTI. After potty training, the child had a constant drip of urine along with normal urination. The examination revealed extravesical ureter ectopia of the left duplicated kidney upper pole and a bladder space-occupying mass with hyperdensive inclusions in the projection of the vesical trigone on the left, which we regarded as a result of the migration of the implant and the appearance of histopathological changes in it. The presence of a bladder space-occupying mass determined the choice of the surgical technique in favor of the formation of a ureterocystoanastomosis with a duplicated ectopic ureter and the removal of a bladder space-occupying mass. When managing patients after endoscopic treatment of VUR, it should be considered the possibility of morphological changes in the bulking agent due to the accumulation of calcium and uric acid salts.https://www.urovest.ru/jour/article/view/510ectopic ureterurinary incontinenceureterocystoanastamosisdextranomer/hyaluronic acidcrm vurdexcomplete duplex collecting system |
| spellingShingle | G. A. Makarov V. V. Sizonov V. M. Orlov V. V. Vigera Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney Вестник урологии ectopic ureter urinary incontinence ureterocystoanastamosis dextranomer/hyaluronic acid crm vurdex complete duplex collecting system |
| title | Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney |
| title_full | Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney |
| title_fullStr | Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney |
| title_full_unstemmed | Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney |
| title_short | Extravesical reimplantation of an extravesical-ectopic ureter from the upper pole of a duplicated kidney |
| title_sort | extravesical reimplantation of an extravesical ectopic ureter from the upper pole of a duplicated kidney |
| topic | ectopic ureter urinary incontinence ureterocystoanastamosis dextranomer/hyaluronic acid crm vurdex complete duplex collecting system |
| url | https://www.urovest.ru/jour/article/view/510 |
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