Demir Mehmet, Çiftçi Halil, Kılıçarslan Nihat, Gümüş Kemal, Oğur Mehmet, Gülüm Mehmet, Yeni Ercan
Department of Urology, Harran University Faculty of Medicine, Şanlıurfa, Turkey.
Department of Radiology, Harran University Faculty of Medicine, Şanlıurfa, Turkey.
Turk J Urol. 2015 Mar;41(1):53-5. doi: 10.5152/tud.2014.81567. Epub 2014 Oct 15.
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.
异位输尿管是成人尿失禁的病因之一，是一种罕见的病症。在本病例中，将对一名被认为源于异位输尿管的女性患者的尿失禁诊断和治疗进行评估。在磁共振（MR）尿路造影中，可见双肾集合系统以及引流右肾上极的集合系统中存在3级输尿管肾盂积水。引流右肾上极的输尿管开口于阴道袖口右侧壁内一个24毫米宽的囊性袋中。在阴道检查时，在阴道右侧壁观察到一个3毫米的开口。进行了右输尿管膀胱吻合术。输尿管开口异位是极为罕见的尿失禁病因。为明确诊断，必须认识到这种病理情况，牢记于心，并采用适当的诊断方法。
