A single-system ectopic ureter draining an ectopic dysplastic kidney: Delayed diagnosis in the young female with continuous urinary incontinence

J. G. Borer, S. B. Bauer, C. A. Peters, D. A. Diamond, Ross Decter, E. Shapiro

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Objective. To document the array of diagnostic modalities, the variety of errant diagnoses and treatments, and the time from initial presentation to ultimate diagnosis in girls with an ectopic single-system ureter draining an ectopic hypoplastic and/or dysplastic kidney. Patients and methods. Between 1990 and 1997, seven females were identified who had an ectopic hypoplastic and/or dysplastic kidney with an ectopically draining ureter, and who were treated at our institutions, either initially or upon referral. The nature and number of all diagnostic evaluations, previous diagnoses and treatments, and the time from presentation to definitive diagnosis were recorded. Results. All seven females had a classical history of successful toilet training, a normal voiding pattern and continuous urinary incontinence. Typically, a solitary kidney was noted on the initial diagnostic evaluation by ultrasonography and/or intravenous urography. The mean (range) age at initial presentation was 3.2 (2-6) years. Additionally, voiding cysto-urethrography, urodynamics, radionuclide scintigraphy, computed tomography, magnetic resonance imaging and endoscopy were performed. The age at definitive diagnosis was 3-16.5 years and the mean (range) time from initial presentation to diagnosis was 5.7 (1-10) years. Nephroureterectomy was curative and all kidneys were dysplastic. Conclusion. Continuous urinary incontinence in females with a normal voiding pattern should prompt an evaluation for ureteric ectopia. When the initial evaluation yields the diagnosis of a solitary kidney, clinicians should be aware of the possibility of a hypoplastic and/or dysplastic, often ectopic, contralateral kidney with an ectopically draining ureter. Identification of this entity should allow curative surgical treatment.

Original languageEnglish (US)
Pages (from-to)474-478
Number of pages5
JournalBritish Journal of Urology
Volume81
Issue number3
DOIs
StatePublished - Jul 20 1998

Fingerprint

Delayed Diagnosis
Urinary Incontinence
Ureter
Kidney
Toilet Training
Emission-Computed Tomography
Urography
Urodynamics
Radionuclide Imaging
Endoscopy
Ultrasonography
Therapeutics
Referral and Consultation
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

@article{dce97d5d1b5d478584846ccae004c5b6,
title = "A single-system ectopic ureter draining an ectopic dysplastic kidney: Delayed diagnosis in the young female with continuous urinary incontinence",
abstract = "Objective. To document the array of diagnostic modalities, the variety of errant diagnoses and treatments, and the time from initial presentation to ultimate diagnosis in girls with an ectopic single-system ureter draining an ectopic hypoplastic and/or dysplastic kidney. Patients and methods. Between 1990 and 1997, seven females were identified who had an ectopic hypoplastic and/or dysplastic kidney with an ectopically draining ureter, and who were treated at our institutions, either initially or upon referral. The nature and number of all diagnostic evaluations, previous diagnoses and treatments, and the time from presentation to definitive diagnosis were recorded. Results. All seven females had a classical history of successful toilet training, a normal voiding pattern and continuous urinary incontinence. Typically, a solitary kidney was noted on the initial diagnostic evaluation by ultrasonography and/or intravenous urography. The mean (range) age at initial presentation was 3.2 (2-6) years. Additionally, voiding cysto-urethrography, urodynamics, radionuclide scintigraphy, computed tomography, magnetic resonance imaging and endoscopy were performed. The age at definitive diagnosis was 3-16.5 years and the mean (range) time from initial presentation to diagnosis was 5.7 (1-10) years. Nephroureterectomy was curative and all kidneys were dysplastic. Conclusion. Continuous urinary incontinence in females with a normal voiding pattern should prompt an evaluation for ureteric ectopia. When the initial evaluation yields the diagnosis of a solitary kidney, clinicians should be aware of the possibility of a hypoplastic and/or dysplastic, often ectopic, contralateral kidney with an ectopically draining ureter. Identification of this entity should allow curative surgical treatment.",
author = "Borer, {J. G.} and Bauer, {S. B.} and Peters, {C. A.} and Diamond, {D. A.} and Ross Decter and E. Shapiro",
year = "1998",
month = "7",
day = "20",
doi = "10.1046/j.1464-410X.1998.00546.x",
language = "English (US)",
volume = "81",
pages = "474--478",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",
number = "3",

}

A single-system ectopic ureter draining an ectopic dysplastic kidney : Delayed diagnosis in the young female with continuous urinary incontinence. / Borer, J. G.; Bauer, S. B.; Peters, C. A.; Diamond, D. A.; Decter, Ross; Shapiro, E.

In: British Journal of Urology, Vol. 81, No. 3, 20.07.1998, p. 474-478.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A single-system ectopic ureter draining an ectopic dysplastic kidney

T2 - Delayed diagnosis in the young female with continuous urinary incontinence

AU - Borer, J. G.

AU - Bauer, S. B.

AU - Peters, C. A.

AU - Diamond, D. A.

AU - Decter, Ross

AU - Shapiro, E.

PY - 1998/7/20

Y1 - 1998/7/20

N2 - Objective. To document the array of diagnostic modalities, the variety of errant diagnoses and treatments, and the time from initial presentation to ultimate diagnosis in girls with an ectopic single-system ureter draining an ectopic hypoplastic and/or dysplastic kidney. Patients and methods. Between 1990 and 1997, seven females were identified who had an ectopic hypoplastic and/or dysplastic kidney with an ectopically draining ureter, and who were treated at our institutions, either initially or upon referral. The nature and number of all diagnostic evaluations, previous diagnoses and treatments, and the time from presentation to definitive diagnosis were recorded. Results. All seven females had a classical history of successful toilet training, a normal voiding pattern and continuous urinary incontinence. Typically, a solitary kidney was noted on the initial diagnostic evaluation by ultrasonography and/or intravenous urography. The mean (range) age at initial presentation was 3.2 (2-6) years. Additionally, voiding cysto-urethrography, urodynamics, radionuclide scintigraphy, computed tomography, magnetic resonance imaging and endoscopy were performed. The age at definitive diagnosis was 3-16.5 years and the mean (range) time from initial presentation to diagnosis was 5.7 (1-10) years. Nephroureterectomy was curative and all kidneys were dysplastic. Conclusion. Continuous urinary incontinence in females with a normal voiding pattern should prompt an evaluation for ureteric ectopia. When the initial evaluation yields the diagnosis of a solitary kidney, clinicians should be aware of the possibility of a hypoplastic and/or dysplastic, often ectopic, contralateral kidney with an ectopically draining ureter. Identification of this entity should allow curative surgical treatment.

AB - Objective. To document the array of diagnostic modalities, the variety of errant diagnoses and treatments, and the time from initial presentation to ultimate diagnosis in girls with an ectopic single-system ureter draining an ectopic hypoplastic and/or dysplastic kidney. Patients and methods. Between 1990 and 1997, seven females were identified who had an ectopic hypoplastic and/or dysplastic kidney with an ectopically draining ureter, and who were treated at our institutions, either initially or upon referral. The nature and number of all diagnostic evaluations, previous diagnoses and treatments, and the time from presentation to definitive diagnosis were recorded. Results. All seven females had a classical history of successful toilet training, a normal voiding pattern and continuous urinary incontinence. Typically, a solitary kidney was noted on the initial diagnostic evaluation by ultrasonography and/or intravenous urography. The mean (range) age at initial presentation was 3.2 (2-6) years. Additionally, voiding cysto-urethrography, urodynamics, radionuclide scintigraphy, computed tomography, magnetic resonance imaging and endoscopy were performed. The age at definitive diagnosis was 3-16.5 years and the mean (range) time from initial presentation to diagnosis was 5.7 (1-10) years. Nephroureterectomy was curative and all kidneys were dysplastic. Conclusion. Continuous urinary incontinence in females with a normal voiding pattern should prompt an evaluation for ureteric ectopia. When the initial evaluation yields the diagnosis of a solitary kidney, clinicians should be aware of the possibility of a hypoplastic and/or dysplastic, often ectopic, contralateral kidney with an ectopically draining ureter. Identification of this entity should allow curative surgical treatment.

UR - http://www.scopus.com/inward/record.url?scp=0031844842&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031844842&partnerID=8YFLogxK

U2 - 10.1046/j.1464-410X.1998.00546.x

DO - 10.1046/j.1464-410X.1998.00546.x

M3 - Article

C2 - 9523673

AN - SCOPUS:0031844842

VL - 81

SP - 474

EP - 478

JO - BJU International

JF - BJU International

SN - 1464-4096

IS - 3

ER -