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Ureteral duplication with an heterotopic ureteric implantation: a less common cause of adult urinary incontinence
  1. Rita Rodrigues Fonseca1,2,
  2. Ana Covita1 and
  3. Renato Lains Mota1
  1. 1Urology, Centro Hospitalar de Lisboa Ocidental EPE, Lisboa, Portugal
  2. 2Introduction to Clinical Practice, Nova Medical School - Universidade Nova de Lisboa, Lisboa, Portugal
  1. Correspondence to Dr Rita Rodrigues Fonseca; ritafonseca17{at}


A 25-year-old woman with a history of frequent urinary tract infections and dribbling urinary incontinence since early childhood was referred to our urology clinic. An accurate investigation revealed a complete right ureteral duplication, with a dysplastic upper-pole renal moiety and an ectopic right ureter draining into the vagina. The patient underwent surgical exploration which confirmed the diagnosis. It was also possible to see a communication between renal moieties which allowed for a laparoscopic ligation and excision of the heterotopic right ureter. The patient had a good recovery, with a complete resolution of her complaints and a great improvement of her quality of life.

  • congenital disorders
  • urological surgery
  • urinary tract infections
  • paediatric surgery

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  • Contributors RRF: collected and analysed data and writting. RLM: collected and analysed images and text review. AC: text review.

  • 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 Obtained.

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