Khelge Vinod, Kalra Sidhartha, Dorairajan Lalgudi Narayanan, Manikandan Ramanitharan, Dutt Uma Kant
Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Endourol Case Rep. 2019 Dec 2;5(4):164-166. doi: 10.1089/cren.2019.0062. eCollection 2019.
Solitary renal unit with ectopic ureter with bladder agenesis is a rare congenital anomaly. Urinary incontinence in such cases is dealt with various continent and noncontinent procedures. We report a case of 20-year-old female patient who presented with continuous leakage of urine. Examination and investigations revealed an absence of right kidney, bladder agenesis, ectopic ureter opening into the vestibule, and multiple bony abnormalities. She was managed effectively by laparoscopic Mainz II with serous lined extramural ureteral reimplantation technique.
孤立肾伴异位输尿管及膀胱缺如为一种罕见的先天性异常。此类病例的尿失禁通过多种可控性和不可控性手术进行处理。我们报告一例20岁女性患者,其表现为持续性尿漏。检查及相关检查发现右肾缺如、膀胱缺如、异位输尿管开口于前庭以及多处骨骼异常。采用腹腔镜 Mainz II 型手术及带浆膜衬里的壁外输尿管再植技术对其进行了有效治疗。