Aytekin KAYMAKÇI, Zekeriya İLÇE, Sevim YENER

Bilateral Tek Sistem Ektopik Üreter: Erken Tanı ve Başarılı Tedavi

Bilateral tek sistem ektopik üreter(BTSEÜ) ,ürolojideki en nadir durumlardan biridir. Şimdiye kadar 80'den daha az olgu bildirilmiştir. Altta yatan anomaliye göre değişkenlik göstermekle birlikte bu hastalarda inkontinansın yönetimi zordur. Trigon ve mesane boynu bölgesinin yetersiz gelişmesi nedeniyle üriner kontinans ve uzun kuru aralıkların elde edilmesi son derece nadirdir. Burada üriner diversiyona veya mesane boynu rekonstrüksiyonuna gerek kalmadan sadece üreterik reimplantasyon yapılarak tatmin edici üriner kontinans ve mesane kapasitesiyle birlikte normal böbrek fonksiyonları sağlanan BTSEÜ olgusu sunulmuştur.

Anahtar Kelimeler:

Ektopik üreter, Hidroüreteronefroz, İnkontinans

Bilateral Single System Ectopic Ureter: Early Diagnosis and Successfully Treatment

Bilateral single system ectopic ureter (BSSEU) is one of the rarest conditions in urology. Fewer than 80 cases have been reported so far. Although it varies according to the underlying anomaly, incontinence is difficult to manage in these patients. Urinary continence and long dry intervals are extremely rare due to insufficient development of the trigone and bladder neck region. Here, we present a case of BSSEU, with satisfactory urinary continence and bladder capacity, as well as normal renal functions, by ureteric reimplantation without the need for urinary diversion or bladder neck reconstruction.

Keywords:

Ectopic ureter, Hydroureteronephrosis, Incontinence,

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