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Organo Oficial de la Sociedad Mexicana de Urología

2021, Number 4

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Rev Mex Urol 2021; 81 (4)

Ectopic insertion of a duplicated ureter into the prostatic urethra

Quintana-Rodríguez M, González-León T , Hernández-Castro JL, Sánchez-Tamaki R

Language: Spanish
References: 13
Page:
PDF size: 768.28 Kb.


ABSTRACT

Description of the clinical case: A 55-year-old male patient consulted due to left lumbar pain and dysuria. A complete ureteral duplication with ectopic ureteral insertion in the prostatic urethra was diagnosed by sonographic study and contrast tomography of the abdomen. Nephroureteroectomy was performed using a laparoscopic approach due to the loss of renal function.
Relevance: Ectopic ureteral insertion is a rare congenital anomaly that presents with complete ureteral duplication with an incidence of 0.05 to 0.025%. Its diagnosis is even more infrequent in adulthood.
Clinical implications: The study of the patient by imaging allowed the diagnosis of this rare entity in an adult patient. Laparoscopic nephrectomy was the indicated treatment with a very satisfactory evolution.
Conclusion: Ureteral ectopy is a rare congenital anomaly. Its diagnosis in adulthood is even less frequent. Contrast ultrasound and CT of the abdomen allowed the diagnosis. Laparoscopic nephrectomy was the treatment indicated for the loss of renal function.


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