Bilateral Single System Ectopic Ureters With Vaginal Insertion in a Female Child, A Rare Variant

• DOI: 10.1016/j.urology.2020.10.025
• Publication Date: 2020-10-28T12:24:01Z
• Authors: Mishal Patel; Urvish Parikh; Radhika Shrotriya; Spandan Kadam; Jainam Shah; Sudhir Chandna
• Keywords: Ectopic ureter; Ureterostomy; Ectopic kidney; Ureteric bud

In most cases an ectopic ureter is associated with a duplicated renal collecting system while in only a few single systems is found. Bilateral single system ureteral ectopia is even rarer. A 9-year-old girl presented with urinary incontinence. Investigations pointed towards bilateral single system ectopic ureters with ectopic openings into vagina with a hypoplastic bladder. The left ureteric system was tortuous with malrotated and hypoplastic left kidney. A 4 × 2 cm hard calculus was found in the vagina. Right Ureteric reimplantation with left to right uretero-ureterostomy was done with satisfactory postoperative day time continence at 6 months without the need for bladder reconstruction or urinary diversion.