Ectopic ureter opening in the vestibulum without urinary incontinence: a case report

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  • MATSUMOTO, Seiji
    the Division of Urology, Osaka Medical Centerand Research Institutefor Maternaland Child Health
  • SHIMADA, Kenji
    the Division of Urology, Osaka Medical Centerand Research Institutefor Maternaland Child Health
  • HOSOKAWA, Syouzou
    the Division of Urology, Osaka Medical Centerand Research Institutefor Maternaland Child Health
  • MATSUMOTO, Fumi
    the Division of Urology, Osaka Medical Centerand Research Institutefor Maternaland Child Health
  • KONYA, Eiji
    the Division of Urology, Osaka Medical Centerand Research Institutefor Maternaland Child Health

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Other Title
  • 尿失禁を伴わない腟前庭部異所開口尿管の1例

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Description

A case of ectopic ureter without urinary incontinence despite its ureteral orifice in the vestibulum is reported. A 2-year-and-9-month-old female was referred to our hospital with the pain of external genitalia, pollakisuria and macroscopic hematuria. Examination revealed a complete double system of the left upper tract with vestibular opening from the upper moiety. She did not show any signs of ureteric incontinence after the establishment of voiding habits. Because radioisotope (RI) scintigram showed apparent uptake in the upper half of the left kidney we performed left ureterocystoneostomy with psoas hitch procedure. We postulate that the incontinence mechanism is maintained when the running course of the ectopic ureter is through some portion of the urethral sphincter musculature. This is the 10th case reported in Japan.

Journal

  • Hinyokika Kiyo

    Hinyokika Kiyo 42 (12), 965-968, 1996-12

    泌尿器科紀要刊行会

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