Ekrem GÜNER, Yunus ÇOLAKOĞLU, Mustafa SOYTAŞ, Coşkun HÜSEYNOV, Ali İhsan TAŞÇI

Nadir Görülen Bir Olgu Sunumu: Prostatik Üretraya Açılan Üreterde Taş

Ektopik üreter nadir görülen bir ürolojik anomali olup mezonefrik kanalın ve üreter tomurcuğunun embrionel dönemdeki gelişim bozukluğundan kaynaklanmaktadır. Sıklıkla çift toplayıcı sistem ve displastik böbrek gibi anomalilerle birlikte görülmektedir. Kadınlarda erkeklerden daha sık görülen bu durumun tedavisi eşlik eden patolojiler, böbrek fonksiyonları, ektopik üreter orifisinin yerleşim yerine göre değişmektedir. Bu yazıda, kliniğimize ağrılı makroskopik hematüri, dizüri, idrar yapmakta zorlanma şikateti ile başvuran, yapılan tetkiklerde prostatik üretraya açılan ektopik üreter ve eşlik eden distal üreter taşı saptanan hastaya klinik yaklaşımımız tartışıldı.

Calculi in the Ureter That Has an Ectopic Insertion to the Prostatic Urethra: A Rare Case Report

Ectopic ureter is a rare urological anomaly and is caused by developmental defect of the mesonephric canal and ureter bud in the embryonal period. It is frequently seen with anomalies such as double collecting system and dysplastic kidney. The treatment of this condition, which is more common in women than in men, varies according to the location of the accompanying pathologies, renal function, and ectopic ureter orifice. In this article, we discussed the clinical approach of the patient who presented to our clinic with painful macroscopic hematuria, dysuria, difficulty in urination, and an ectopic ureter opening to the prostatic urethra and accompanying distal ureteral calculi.

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1. Nation E. Duplication of the kidney and ureter: a statistical study of 230 new cases. J Urol 1944;51:456.
2. Meyer R. Zur Anatomie und entwicklungsgeschickte der ureter verdoppelung. Virchow’s Arch (Pathol anat.) 1907;187:408.
3. Weigert C. Uber einige bildungsfehler der uretern. Virchow’s Arch (Pathol anat.) 1877;70:490.
4. Synder HM. Anomalies of ureter. In: Gillenwater JY, Gray- hack JT, Howard SS, Duckett JW, editors. Adult and pediat- ric urology. Mosby; St. Louis: 1991. pp. 1831–62.
5. Demir M, Çiftçi H, Kılıçarslan N, Gümüş K, Oğur M, Gü- lüm M. A case of an ectopic ureter with vaginal insertion diagnosed in adulthood. Turk J Urol 2015; 41: 53-55.
6. Kesavan P, Ramakrishnan MS, Fowler R. Ectopia in undup- licated ureters in children. Br J Urol 1977;49:481-493.
7. Cooper CS, Snyder HM. The ureter. In: Adult and Pediatric Urology, 4th ed, Gillenwater JY, Grayhack JT, Howards SS, Mitchell ME (Eds), Lippincott Williams and Wilkins, Phila- delphia 2002. p.2155.
8. Mathews R, Jeffs RD, Maizels M, et al. Single system ureteral ectopia in boys associated with bladder outlet obstruction. J Urol 1999; 161:1297.
9. Figueroa VH, Chavhan GB, Oudjhane K, Farhat W. Utility of MR urography in children suspected of having ectopic ureter. Pediatr Radiol 2014; 44:956.
10. Chowdhary SK, Lander A, Parashar K, Corkery JJ. Single- system ectopic ureter: a 15-year review. Pediatr Surg Int 2001;17:638.