Bilateral Tek Sistem Ektopik Üreter: Erken Tanı ve Başarılı Tedavi

Year 2022, , 329 - 332, 01.06.2022

Sevim Yener , Aytekin Kaymakcı , Zekeriya İlce

https://doi.org/10.26453/otjhs.1080441

Abstract

Bilateral tek sistem ektopik üreter(BTSEÜ) ,ürolojideki en nadir durumlardan biridir. Şimdiye kadar 80'den daha az olgu bildirilmiştir. Altta yatan anomaliye göre değişkenlik göstermekle birlikte bu hastalarda inkontinansın yönetimi zordur. Trigon ve mesane boynu bölgesinin yetersiz gelişmesi nedeniyle üriner kontinans ve uzun kuru aralıkların elde edilmesi son derece nadirdir. Burada üriner diversiyona veya mesane boynu rekonstrüksiyonuna gerek kalmadan sadece üreterik reimplantasyon yapılarak tatmin edici üriner kontinans ve mesane kapasitesiyle birlikte normal böbrek fonksiyonları sağlanan BTSEÜ olgusu sunulmuştur.

Keywords

Ektopik üreter, Hidroüreteronefroz, İnkontinans

Supporting Institution

YOK

Bilateral Single System Ectopic Ureter: Early Diagnosis and Successfully Treatment

Abstract

Bilateral single system ectopic ureter (BSSEU) is one of the rarest conditions in urology. Fewer than 80 cases have been reported so far. Although it varies according to the underlying anomaly, incontinence is difficult to manage in these patients. Urinary continence and long dry intervals are extremely rare due to insufficient development of the trigone and bladder neck region. Here, we present a case of BSSEU, with satisfactory urinary continence and bladder capacity, as well as normal renal functions, by ureteric reimplantation without the need for urinary diversion or bladder neck reconstruction.

Keywords

Ectopic ureter, Hydroureteronephrosis, Incontinence

References

• Meisheri IV, Bhatnagar SN. Bladder capacity in single system ectopic ureter with solitary kidney. BHJ. 2006;48(1):168-171. 
• Redman JF, Lightfoot ML, Reddy PP. Bilateral single system ectopia in a boy. Urology. 2002;60(3): 514.doi:10.1016/S0090-4295(02)01820-4
• Gangopadhyaya AN, Upadhyaya VD, Pandey A, et al. Single system ectopic ureters in females: A single centre study. J Indian Assoc Paediatr Surg. 2007;12(4):202–205.
• Chowdhary SK, Lander A, Parashar K, Corkery JJ. Single system ectopic ureter: a 15-year review. Pediatr Surg Int. 2001;17:638-641.doi:10.1007/s003830100011
• Ritchey ML, Kramer SA, Benson Jr RC, Kelalis PP. Bilateral single ureteral ectopia. Eur Urol. 1988;14(1):41-45. doi:10.1159/000472895
• Kesavan P, Ramakrishnan MS, Fowler R. Ectopia in unduplicated ureters in children. Br J Uro. 1977;49(6):481-493. doi:10.1111/j.1464-410x.1977.tb04188.x
• Heuser M, Zoller G, Seseke F, Zappel H. Bladder dysfunction in children with single ectopic ureters. J Pediatr Surg. 2002; 37(5):15-17.
• Jayanthi VR, Churchill BM, Khoury AE, McLorie GA. Bilateral single ureteral ectopia: difficulty attaining continence using standard bladder neck repair. J Urol. 1997;158(5):1933-1936. doi:10.1016/s0022-5347(01)64184-3
• Shimada KHS, Taguchi K, Ikoma F. Clinical analysis of children with bilateral single ectopic ureter and single ectopic ureter in a solitary kidney. Jpn J Pediatr Surg.1992;28:356-363.
• Podesta E, Scarsi PL, Di Rovasenda E, Ferrettis, Magillo, Dodero P. Vesical continence in bilateral ectopic single ureters. J Urol.2001;165:2363-2365. doi:10.1097/00005392-200106001-00036