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• W2023309721 abstract "No AccessJournal of UrologyPediatric Urology1 Nov 1997BILATERAL SINGLE URETERAL ECTOPIA: DIFFICULTY ATTAINING CONTINENCE USING STANDARD BLADDER NECK REPAIR Venkata R. Jayanthi, Bernard M. Churchill, Antoine E. Khoury, and Gordon A. McLorie Venkata R. JayanthiVenkata R. Jayanthi More articles by this author , Bernard M. ChurchillBernard M. Churchill More articles by this author , Antoine E. KhouryAntoine E. Khoury More articles by this author , and Gordon A. McLorieGordon A. McLorie More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64184-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed the surgical results of the management of bilateral single ureteral ectopia, a rare congenital cause of severe urinary incontinence. Materials and Methods: We reviewed the records of 6 girls and 1 male infant who presented to 1 institution with this diagnosis in a 10-year period. Results: All patients were incontinent and 3 had undergone ureteral reimplantation as an initial procedure with persistent postoperative wetting. Of the 5 patients who underwent a total of 8 attempts at increasing bladder outlet resistance, including 3 Young-Dees-Leadbetter, 2 Kropp, 1 Stamey, 1 Burch and 1 pubovaginal sling procedure, 2 also underwent simultaneous bladder augmentation to increase bladder capacity. However, none of these children had satisfactory continence after the continence procedure. Three of these patients who subsequently underwent appendicovesicostomy with bladder neck closure are continent. The 2 remaining patients underwent initial appendicovesicostomy with bladder neck closure and augmentation, and they are also continent. Conclusions: In our series total day and nighttime continence was only achieved by bladder neck closure, appendicovesicostomy and augmentation. Attempts at increasing bladder outlet resistance in patients with bilateral single ectopic ureters led to suboptimal rates of success even when adequate bladder capacity had been ensured by simultaneous augmentation. References 1 : Bilateral single ectopic ureter: a report of 2 cases and review of the literature. J. Urol.1966; 95: 493. Link, Google Scholar 2 : Bilateral single ectopic ureters. Brit. J. Urol.1972; 44: 267. Google Scholar 3 : Bilateral single ureteral ectopia. Eur. Urol.1988; 14: 41. Google Scholar 4 : Single-system ectopic ureters: a review of 12 cases. J. Ped. Surg.1992; 27: 491. Google Scholar 5 : Urethral lengthening and reimplantation for neurogenic incontinence in children. J. Urol.1986; 135: 533. Link, Google Scholar 6 : Embryologic basis for lower ureteral anomalies: a hypothesis. Urology1976; 7: 451. Google Scholar 7 : Bilateral single ectopic ureter. Eur. Urol.1988; 14: 454. Google Scholar 8 : Spectrum of bilateral ureteral ectopia. Urology1982; 19: 489. Crossref, Medline, Google Scholar 9 : Exstrophy of the bladder, epispadias and other bladder anomalies. In: . Philadelphia: W. B. Saunders Co.1992: 1772. chapter 46. Google Scholar 10 : Improved results using a modification of the Young-Dees-Leadbetter bladder neck repair. Brit. J. Urol.1993; 71: 555. Google Scholar 11 : The flip-flap technique to lengthen the urethra (Salle procedure) for treatment of neurogenic urinary incontinence. J. Urol.1994; 152: 799. Link, Google Scholar 12 : Bladder neck closure in association with continent urinary diversion. J. Urol.1995; 154: 883. part 2. Link, Google Scholar 13 : Concomitant bladder neck closure and Mitrofanoff diversion for the management of intractable urinary incontinence. J. Urol.1995; 154: 886. Link, Google Scholar 14 : A technique for bladder neck reconstruction in exstrophy: the cinch. J. Urol.1990; 144: 546. Link, Google Scholar 15 : Techniques to create continence in the failed bladder exstrophy closure patient. J. Urol.1993; 150: 441. Link, Google Scholar From the Divisions of Urology, Hospital for Sick Children, Toronto, Canada, University of California-Los Angeles School of Medicine, Los Angeles, California, and Ohio State University, Columbus, Ohio.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySANLI O, ZIYLAN O, KANDIRALI E, KADIOGLU A and OZSOY C (2018) BILATERAL SINGLE SYSTEM URETERAL ECTOPIA DIAGNOSED INCIDENTALLY WITH INFERTILITYJournal of Urology, VOL. 172, NO. 3, (1026-1027), Online publication date: 1-Sep-2004.Podestà E, Scarsi P, Di Rovasenda E, Ferretti S, Magillo P and Dodero P (2018) VESICAL CONTINENCE IN BILATERAL ECTOPIC SINGLE URETERSJournal of Urology, VOL. 165, NO. 6 Part 2, (2363-2365), Online publication date: 1-Jun-2001. Volume 158Issue 5November 1997Page: 1933-1936 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Venkata R. Jayanthi More articles by this author Bernard M. Churchill More articles by this author Antoine E. Khoury More articles by this author Gordon A. McLorie More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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