LIFETIME INCONTINENCE DUE TO ECTOPIC URETER WITH HYPOPLASTC DYSPLASTIC KIDNEY IN 22 yr OLD LADY, A CASE REPORT

Abstract

Continuous urine dribbling together with normal micturition is the classical picture of ectopic ureter in girls. We present our case which 22yr old lady presented to our department with life time incontinence. The diagnostic work-up included: Excretory Urography, ultrasonography (US), cystogram, MRI and Cystoscopy, as well as a thorough exam of the external genitalia under general anesthesia. Our case presented an ectopic ureter that ends the vagina with single dysplastic renal system and nephrectomy with ureterectomy was done as treatment of choice. Urinary incontinence in girls due to ectopic ureter is an uncommon disease. Eighty-five% of the cases are associated to renal duplication. IVU is highly sensible to defect renal duplication; and only 15% of ectopic ureters come with single system.Keywords: incontinence, ectopic ureter, duplex renal system