A case of an ectopic ureter with vaginal insertion diagnosed in adulthood

Abstract

Ectopic ureter which is one of the causes of urinary incontinence in adults is a rarely seen entity. In this case, diagnosis and treatment of urinary incontinence in a female patient thought to originate from an ectopic ureter will be evaluated. On magnetic resonance (MR) urograms double collecting system in both kidneys and also grade 3 hydroureteronephrosis in the collecting system which drained the upper pole of the right kidney were seen. The ureter draining the upper pole of the right kidney was seen to open into a 24 mm-wide cystic pouch inside the right lateral wall of the vaginal cuff. During vaginal examination an orifice of 3 mm was observed on the right wall of the vagina. Right ureteroneocystostomy was performed. Ureters with ectopic orifices are very rarely seen causes of urinary incontinence. To establish the diagnosis, this pathology must be recognized, should be kept in mind, and appropriate diagnostic methods must be used.

Keywords: Ectopic ureter; female; incontinence; vaginal.

Figure 1.

Ureter draining the upper pole extends up to the right lateral aspect of the vaginal cuff, and opens into a 24-mm-width cystic pouch in the wall of the vaginal cuff. (arrow) Cystic Pouch; Ureter draining the upper pole extends up to the right lateral aspect of the vaginal cuff, and opens into a 24-mm-width cystic pouch in the wall of the vaginal cuff