Article Text

Download PDFPDF
Case report
Dismembered extravesical reimplantation of ectopic ureter in duplex kidney with incontinence
  1. Abhishek Chandna,
  2. Pawan Kaundal,
  3. Kalpesh Mahesh Parmar and
  4. Shrawan Kumar Singh
  1. Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Shrawan Kumar Singh; shrawanksingh2002{at}


Ectopic ureter is a rare but pertinent cause of incontinence in young women. We report a 12-year-old girl who presented with reports of incontinence since birth. She was evaluated and found to have complete duplication of the left ureter, with the upper moiety ureter opening into the vestibule of the vagina just below the external urethra meatus. She was managed surgically by dismembered extravesical reimplantation of the upper moiety ureter instead of the conventional method of common sheath reimplantation, sparing the patient a wide cystostomy and intravesical dissection. One year postsurgery, the patient is asymptomatic and dry. Dismembered reimplantation of the ectopic ureter is a simple and reproducible technique which avoids manipulation of the normal lower moiety ureter and its associated potential complications. At the same time, it ensures that the patient is dry without any adverse effect on the lower moiety or its ureter.

  • urology
  • urological surgery

Statistics from


  • Contributors Study design: SKS and AC; data acquisition: AC and PK; data analysis: AC and KMP; drafting of manuscript: AC and KMP; critical revision of the manuscript: SKS and KMP.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.