Ectopic ureteral opening in four males: including a case of inverted Y ureteral duplication
Kajikawa, H.; Kameoka, H.; Nishimoto, N.; Miyoshi, S.; Iwao, N.; Mizutani, S.
Hinyokika Kiyo. Acta Urologica Japonica 31(11): 2039-2048
1985
ISSN/ISBN: 0018-1994 PMID: 4091141 Document Number: 263732
Four males with ectopic ureteral opening are reported herein. Case 1 was a 17 year old who complained of miction pain and macroscopic hematuria. Cystoscopy and radiological examinations showed left ecotopic ureteral opening into the seminal vesicle associated with left renal agenesis. The left uterer and seminal vesicle were extirpated. Case 2 was a 21 year old who complained of lower abdominal pain. On physical examination, a child's head sized mass was palpable in the midline of the lower abdomen. Operation was performed under diagnosis of intrapelvic tumor, but the mass was cystic dilation of left uterer which opened into the seminal vesicle. Case 3 was a 19 year old who complained of right CVA colic pain. On cystoscopy, the right urethal orifice was absent. During the operation, right ureter was found to open into the posterior urethra. Case 4 was a 57 year old who complained of fever. Plain X-ray on the pelvic cavity showed a 82 .times. 10 mm calcified shadow. CT revealed a right ectopic ureteral opening into the posteror urethra with a ureteral stone in it. On cystoscopy, the right ureteral orifice was identified and pus discharge was observed to flow out of it. Operative exploration demonstated that the right ureter was inverted Y duplication; one opened into the posterior urethra and the other into the trigone. Seventy nine males with ecotopic ureteral opening and 3 with inverted Y ureteral duplication from the Japanese literature are reviewed briefly.