Transurethral incision of the ectopic ureter for relief of obstruction

• Published in: Urology (Ridgewood, N.J.) Vol. 53; no. 5; p. 1033
• Main Authors: Van Savage, John G., Slaughenhoupt, Bruce L.
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-05-1999
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/S0090-4295(99)00075-8

A 32-week-gestation female fetus presented with a diagnosis of left hydroureteronephrosis. Both the right kidney and the amniotic fluid volume were normal. Spontaneous term delivery occurred and postnatal imaging revealed Society for Fetal Urology grade IV hydroureteronephrosis of the left upper pole. Cystoscopy revealed an ectopic ureteral orifice at the bladder neck; this was incised back onto the trigone of the bladder. Follow-up imaging studies revealed resolution of the upper pole hydroureteronephrosis and absence of vesicoureteral reflux. The patient was continent. Select cases of ectopic ureters may be incised transurethrally (as is the ectopic ureterocele) in the neonate.