ECTOPIC OPENING URETER

REPORT OF 5 CASES AND REVIEW OF THE LITERATURE

Abstract

Five cases of ectopic opening ureter were reported. Three cases were girls (7, 5 and 5 years old), who were always wett, although they urinated at definite intervals. All of them had a unilateral ectopic opening ureter into vagina. The kidneys on the corresponding sides were all hypoplastic. One case was a girl of 13 years old, complaining of intermittant incontinence. By urethro-cystoscopic and radiographic examination we were able to find a small urethral diverticulum, into which r. ureter opened. The kidney on the corresponding side could not be found even by operative dissection. The ureter ended blindly. The other case was a 32-year-old male, complaining of pain on urination and swelling of scrotal content. By urethro-cystoscopic examination and seminal vesiculography we were able to recognize r. ectopic opening ureter into seminal vesicle. The kidney on the corresponding side was very small, measurring 2.5 by 2.2 by 1.5cm. in size and the histological examination showed only tubular structure. This case of the ectopic opening ureter into seminal vesicle is thought to represent the 18th reported instance of the diagnosis during life. Clinical and embryological observations were made on the above mentioned 5 cases.