Ureteral Ectopia in Complete Duplicated System Treated with Ureteropyelostomy

Ureteral ectopia in girls may cause incontinence when it opens to the distal region of the external sphincter. Herein, we aimed to discuss the diagnosis and treatment of a case treated with ureteropyelostomy. The female patient with antenatally diagnosed left hydronephrosis had periurethral dripping when she was evaluated in the neonatal period. Continuous urine drainage from the periurethral area was observed in the examination under general anesthesia, but ectopic ureter opening was not seen. At two years of age, ultrasonography and renal scintigraphy showed similar findings and dripping was also present. Ureteropyelostomy and upper pole ureterectomy were performed with left anterior subcostal incision. Surgical treatment in patients who have duplex collecting system with ectopic ureteric opening varies according to the function of the renal unit drained by the ectopic ureter. Ureteropyelostomy and distal ureteral excision are appropriate treatment options in patients with functional upper pole.