Ectopic ureter

Ectopic ureter (EU) is any ureter, single or duplex, which does not open in the trigonal region of the bladder. Nearly 80% of ectopic ureters are associated with complete duplication of the collecting system.

Most common sites of ectopic opening -

In males, this site is usually the urethra, and in females, the EU opening is often at the urethra or vagina.

Associated problems –

Often asymptomatic in males
Vesicoureteral reflux
Prenatal hydronephrosis
Recurrent urinary tract infections
Incontinence - In females, the ectopic ureteric opening may be at the bladder neck, urethra, vagina, or vestibule. The ectopic ureter drains either distal to the urethral sphincter or into the reproductive tract resulting in continuous incontinence.

The toilet-trained girl with normal voiding habits presents with continuous dampness of the genital region. And, gives no history of diurnal variation or increased nighttime bedwetting is a classical presentation of the ectopic ureter with incontinence.

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sites of ectopic ureter Females and males

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