Female Pelvic Medicine & Reconstructive Surgery, University of South Florida, Tampa, FL, USA.
Reconstructive Urology, University of South Florida, Tampa, FL, USA.
Int Urogynecol J. 2021 Oct;32(10):2871-2872. doi: 10.1007/s00192-021-04745-7. Epub 2021 Mar 24.
A duplicated collecting system is the most common birth defect related to the urinary tract and is more common in women. Approximately 0.7% of the healthy adult population and 2-4% of patients with urinary tract symptoms have duplicated ureters. This video discusses the presentation, evaluation, and treatment of duplicated urinary collecting systems, and presents a case of duplicated collecting system with ectopic ureteral implantation at the vaginal introitus.
We present the case of a 56-year-old presenting with a history of incontinence and recurrent urinary tract infections starting in adolescence and her workup for a duplicated collecting system, as well as subsequent surgical management with narrated footage. The patient was counseled that a distal ectopic ureter remnant could serve as a nidus for infection and the patient elected to undergo complete excision of the distal ectopic ureter.
Duplicated urinary collecting systems are the most common birth defect related to the urinary tract and can be frequently encountered by the pelvic surgeon. Knowledge of the presentation and workup of a suspected duplicated collecting system is important in carrying out appropriate treatment.
重复的收集系统是最常见的与泌尿道相关的先天性缺陷，在女性中更为常见。大约 0.7%的健康成年人和 2-4%的泌尿道症状患者存在重复的输尿管。本视频讨论了重复的收集系统的表现、评估和治疗，并介绍了一例在阴道入口处异位植入输尿管的重复收集系统病例。
我们介绍了一位 56 岁的患者，她在青春期开始出现尿失禁和反复尿路感染的病史，以及她为重复收集系统进行的检查，以及随后的手术治疗，配有旁白镜头。患者被告知远端异位输尿管残端可能成为感染的病灶，患者选择接受远端异位输尿管的完全切除。
重复的收集系统是最常见的与泌尿道相关的先天性缺陷，盆腔外科医生经常会遇到。了解疑似重复收集系统的表现和检查对于进行适当的治疗很重要。
