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Japanese

A case of urinary incontinence following surgery for ectopic ureter in an adult woman Koji Ichihara 1 , Shin-ichi Hisasue 1 , Kazuyuki Nishinaka 2 , Naoya Masumori 1 , Naoki Itoh 1 , Taiji Tsukamoto 1 1Department of Urology,Sapporo Medical University 2Division of Pediatric Urology,Department of Surgery,Children's Hospital Medical Center,Cincinnati,Ohio Keyword: 尿管異所開口 , 尿失禁 pp.1027-1030
Published Date 2004/12/20
DOI https://doi.org/10.11477/mf.1413100654
  • Abstract
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 A 30-year-old woman presented with a complaint of intermittent urinary frequency and non-stress urinary incontinence without urgency. She had undergone heminephrectomy for a left duplicated ureter with hydronephrosis of the upper segment of the kidney 11 years earlier. Reevaluation following a year and half of conservative management,revealed a marked dilatation of the residual ureteral stump opening to the urethra,which caused the frequency and incontinence. Surgical excision of the distal ureteral stump with ureterovesiconeostomy of the intact ureter was performed successfully and she is now free from urinary symptoms. A residual ureteral stump retained in the bladder neck or urethra may develop unexpected incontinence or recurrent urinary tract infection. We should inform the patient about this posibility as late complication following ectopic ureter surgery when its lower segment is not completely removed.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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