Case Report
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Bilateral Tek Sistem Ektopik Üreter: Erken Tanı ve Başarılı Tedavi

Year 2022, Volume: 7 Issue: 2, 329 - 332, 01.06.2022
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.

Supporting Institution

YOK

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

Bilateral Single System Ectopic Ureter: Early Diagnosis and Successfully Treatment

Year 2022, Volume: 7 Issue: 2, 329 - 332, 01.06.2022
https://doi.org/10.26453/otjhs.1080441

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.

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
There are 10 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case report
Authors

Sevim Yener 0000-0002-7327-8228

Aytekin Kaymakcı 0000-0002-6147-5566

Zekeriya İlce 0000-0002-3473-5051

Publication Date June 1, 2022
Submission Date March 1, 2022
Acceptance Date April 8, 2022
Published in Issue Year 2022 Volume: 7 Issue: 2

Cite

AMA Yener S, Kaymakcı A, İlce Z. Bilateral Tek Sistem Ektopik Üreter: Erken Tanı ve Başarılı Tedavi. OTJHS. June 2022;7(2):329-332. doi:10.26453/otjhs.1080441

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