Zöller G, Zappel H, Ringert R H
Urologische Universitätsklinik und * Universitätskinderklinik Georg-August-Universität Göttingen.
Klin Padiatr. 2001 Nov-Dec;213(6):314-6. doi: 10.1055/s-2001-18457.
Ectopic ureter - especially in a duplicated collecting renal system - is a specific cause of incontinence in young girls. Although the symptom of continuous dribbling of urine is characteristic for this malformation, diagnosis is often delayed, as the possibility of ectopic ureters is not considered in treating girls with delayed toilet training.
We present the case of a young girl with a variety of unnecessary invasive diagnostic and therapeutic procedures due to a misunderstood "enuresis", before incontinence was cured by upper pole heminephrectomy.
Girls, who never have been dry and who loose urine all the time do have an ectopic ureter, unless evidence to the contrary has been put forward. Only considering the possibility of ectopic ureters will avoid unnecessary diagnostic and therapeutic procedures in these girls.
异位输尿管——尤其是在重复肾集合系统中——是年轻女孩尿失禁的一个特殊原因。尽管持续滴尿的症状是这种畸形的特征，但诊断往往会延迟，因为在治疗如厕训练延迟的女孩时，没有考虑到异位输尿管的可能性。
我们报告一例年轻女孩的病例，由于对“遗尿症”的误解，在进行了各种不必要的侵入性诊断和治疗程序后，最终通过上极半肾切除术治愈了尿失禁。
除非有相反的证据，否则从未干爽且一直遗尿的女孩确实存在异位输尿管。只有考虑到异位输尿管的可能性，才能避免对这些女孩进行不必要的诊断和治疗程序。
