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Ectopic ureter

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

A child with urinary incontinence and recurrent urinary tract infection.

Patient Data

Gender: Male
Fluoroscopy

An ectopic ureter is identified and inserted into the posterior urethra. Associated grade III vesico-ureteric reflux is also noted.

Case Discussion

Ectopic ureter results from failure of separation of the ureteral bud from wolfian duct leading to caudal migration. Females are more affected and symptomatic as the ureter inserts distal to the external sphincter while males are asymptomatic. The more distal the ureter is inserted the worse the prognosis.

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