Table of Contents
How are ectopic ureters treated?
The only treatment for an ectopic ureter is surgery. The goal is to correct the congenital defect or drain urine away from the kidney to prevent damage. Different types of surgery may be used: Ureteroureterostomy: This surgery creates a new connection to correct the problem.
What is an ectopic ureter?
A ureter that does not connect properly to the bladder and drains somewhere outside of the bladder is called an ectopic ureter. In boys the ectopic ureter usually drains into the urethra closer to the prostate. In girls the ectopic ureter usually drains into the reproductive organs or urethra.
Can an ectopic ureter be fixed?
How are ectopic ureters treated? Treatment of ectopic ureters requires relocating the ureter from its abnormal location to a more normal location. This can be accomplished via open abdominal surgery or a laser procedure (which is done during cystoscopy). Good outcomes have been observed with both procedures.
What happens at ureteral openings?
At the level of the pelvic cavity, the ureter opens into the urinary bladder. Before opening, the ureter runs intermurally between the tunica muscularis and tunica mucosa of the urinary bladder. The ureteric orifice is the slit of the ureter at the lumen of the urinary bladder. The ureter is a simple tubular organ.
How do I know if my ureter is blocked?
Symptoms of a blocked ureter or urinary tract obstruction include:
- Pain in your abdomen, lower back or sides below your ribs (flank pain).
- Fever, nausea or vomiting.
- Difficulty urinating or emptying your bladder.
- Frequent urination.
- Recurring urinary tract infections (UTI).
- Urine that is bloody or cloudy.
Why do ectopic ureters cause incontinence?
What are ectopic ureters? The ureters are tubes that carry urine produced by the kidneys to the bladder. Ectopic ureters are an abnormality whereby dogs and cats are born with ureters that do not enter the bladder in the correct position resulting in incontinence.
How common is ectopic ureter?
Ectopic ureters are rare in males and present as UTI. Usually, there is a single ureter associated with a dysplastic kidney, which ends in the posterior urethra, ejaculatory duct, seminal vesicle, or vas. Males are usually continent because the ureter is proximal to the external sphincter.
What is the pee pee hole called?
urethra
From your two kidneys, two ureters move the urine to the bladder, where it’s stored until you urinate (pee). Urine leaves your body through a hole at the end of your urethra. That hole from the inside to the outside is called the urethral meatus. (The term ‘meatus’ refers to any opening from the inside to the outside.)
What are the potential sites of termination of an ectopic ureter?
The metanephric duct will then be carried caudally with the mesonephric duct to open in the bladder neck or urethra of females or the deferent duct or urethra of males19 (Figure 2). Most cases appear to terminate in the urethra of females and males.
What is wet puppy syndrome?
Ectopic Ureter puppies are frequently referred to as “wet puppies” because they are always wet from uncontrolled urine leakage. In a female puppy, the defect is normally detected between a few days old and eight weeks of age. Sometimes, it can appear around six to eight months, but this is less likely.
Is ureteral obstruction an emergency?
A ureteral obstruction that causes severe pain might require an immediate procedure to remove urine from your body and temporarily relieve the problems caused by a blockage.
Is ectopic ureter rare?
Ectopic ureter (EU) with an incidence of 1:2000 and 1:4000 in autopsies is defined as any ureter, single or duplex, that opens at places other than the bladder trigone.
Why does the opening of my urethra hurt?
Urethral pain may be caused by many things, including STIs, trauma, bacterial or fungal infections, and obstruction. To accurately diagnose what is causing pain in your urethra, your doctor will do a physical exam. They may also order labs and imaging tests.
What causes your pee hole to hurt?
Pain at the start of your urination is often a symptom of a urinary tract infection. Pain after your urination can be a sign of a problem with the bladder or prostate. In men, pain can remain in your penis before and after urination too. Symptoms in women can be internal or external.
How common is ectopic ureter in dogs?
Ectopic ureter is rare in dogs but is the most common congenital anomaly that causes urinary incontinence. The disease is thought to arise because of disruption in normal embryogenesis and is commonly associated with other anomalies within the urogenital tract.
What is ectopic ureter?
Ectopic ureter. Dr Daniel J Bell ◉ and Dr Ahmed Abdrabou et al. An ectopic ureter is a congenital renal anomaly that occurs as a result of abnormal caudal migration of the ureteral bud during its insertion to the urinary bladder. Normally the ureter drains via the internal ureteral orifice at the trigone of the urinary bladder.
What is the difference between duplex and ectopic ureters?
Ectopic ureters are commonly associated with a duplex kidney, where one kidney has two separate ureters; one of the ureters drains normally into the bladder, but the second is ectopic. An ectopic ureter drains urine to someplace other than the bladder.
What are the signs of ectopic ureter in boys?
The general signs of ectopic ureter are: A blocked ureter or incontinence (leaking urine) can be signs of an ectopic ureter. Boys with ectopic ureters do not often have incontinence, since the ureter drains inside the body. But they may still have signs of swelling or a UTI.
When to use dialysis for ectopic ureter?
This is a good method when the kidney (or the part of it) draining through the ectopic ureter is not working well. It may also be used when that part of the kidney works well and the other kidney is normal.