Kusuma Putra Harun Wijanarko, Situmorang Gerhard Reinaldi, Rodjani Arry, Wahyudi Irfan
Department of Urology, Cipto Mangunkusumo National Referral Hospital, Faculty of Medicine University of Indonesia, Indonesia.
Urol Case Rep. 2023 May 22;49:102446. doi: 10.1016/j.eucr.2023.102446. eCollection 2023 Jul.
A 14-months old female child was diagnosed with bilateral single system ectopic ureters opening into the urethra, with small bladder capacity, horseshoes kidneys, and bilateral hydronephrosis, presenting recurrent febrile UTI accompanied by continuous incontinence and elevated renal function. Early bilateral re-implantation of the ureters (modified Lich-Gregoir) was done in one setting, resulting jn no recurring febrile UTIs and continuous wetting, improving renal function parameter, competent bladder neck, and 10 folds increased in bladder capacity after 1-year follow up. We showed that earlier treatment enables patient to preserve both renal and bladder function without involving complex reconstructive surgery.
一名14个月大的女童被诊断为双侧单系统异位输尿管开口于尿道，伴有膀胱容量小、马蹄肾和双侧肾积水，反复出现发热性泌尿道感染，伴有持续性尿失禁和肾功能升高。早期在一次手术中进行了双侧输尿管再植术（改良Lich-Gregoir术式），术后未再出现发热性泌尿道感染和持续性尿湿，肾功能参数得到改善，膀胱颈功能正常，随访1年后膀胱容量增加了10倍。我们表明，早期治疗能够使患者在不进行复杂重建手术的情况下保留肾脏和膀胱功能。
