A 31-year-old multigravid woman with a history of severe endometriosis involving the urogenital tract and complete duplication of the right renal collecting system, as well as a right ureterovaginal fistula, presented for evaluation and surgical consult [ncbi.nlm.nih.gov]

Aberrant renal arteries are present in about 30% of individuals. Aberrant renal arteries to the inferior pole cross anteriorly to the ureter and may cause hydronephrosis [ 8 ]. [pulsus.com]

Presentation One month history of burning micturition. Ultrasound (not included) revealed a left sided double ureter but the entire course could not be traced. Hence an IVU was performed. [radiopaedia.org]

• Hunting

  Porter GA, Cantor SB, Ahmad SA, Lenert JT, Ballo MT, Hunt KK, Feig BW, Patel SR, Benjamin RS, Pollock RE, Pisters PWT: Cost-effectiveness of staging computed tomography of the chest in patients with T2 soft tissue sarcomas. Cancer 2002;94:197-204. [karger.com]

• Lower Abdominal Pain

  Risks Difficulties related to ureteral stenting include: bleeding (usually minor and easily treated, but occasionally requiring transfusion) catheter migration or dislodgement coiling from the stent inside the ureter (could cause lower abdominal pain [laparoscopyhospital.com]

  It starts with lower abdominal pain and swelling/bloating, then drops of yeast arrive and then pain sets in. I am still having lower back pain. [medhelp.org]

• Early Satiety

  Patients may suffer from early satiety, obstructive gastrointestinal symptoms, pain or lower extremity swelling. [karger.com]

• Muscle Tenderness

  Physical examination revealed right costovertebral angle and paraspinous muscle tenderness. Pertinent laboratory study findings included normal serum creatinine and white blood cell count. [ncbi.nlm.nih.gov]

• Excitement

  2 Replies, Preparing for Hysterectomy (pre hysterectomy) Advertisement Hysterectomy News January 31,2019 CURRENT NEWS HysterSisters Takes On Partner To Manage Continued Growth And Longevity I have news that is wonderful and exciting! [hystersisters.com]

  I was told that I was very rare because of the 4 ureters, and I'm strangely excited about finding someone else who has them! Lol! [medhelp.org]

• Forgetful

  However, one must not forget the risk of metastasis.In many cases, for this reason, a polyspecialistic team is required. [karger.com]

• Ureteral Disorder

  Ureteral Disorders Your kidneys make urine by filtering wastes and extra water from your blood. The urine travels from the kidneys to the bladder in two thin tubes called ureters. The ureters are about 8 to 10 inches long. [icdlist.com]

• Polymenorrhea

  Abstract The case of a 45-year-old woman who was admitted to our university hospital for polymenorrhea, weight gain and pain in the left iliac region is reported. [karger.com]

• Creatinine Increased

  The MS failed to alleviate obstruction in 12 patients (35%) and progressive hydroureteronephrosis as well as creatinine increase were observed. [indianjurol.com]

The patient underwent laparoscopic ureteroneocystostomy and vesicopsoas hitch for the treatment of infiltrative endometriosis with a double ureter. [ncbi.nlm.nih.gov]

[…] before treatment, in order to result in the ureters easier identifiable in the course of complicated surgical treatments. [laparoscopyhospital.com]

Ureteric stents are in most instances temporary and must be removed from the body after definitive treatment is completed. Occasionally, events can occur where communication and follow up is lost. [kidneystoneclinic.com.au]

The cost-effectiveness of the MS seems to be appropriate for long-term treatment. [indianjurol.com]

Treatment and prognosis Surgical intervention is usually not indicated in absence of reproductive difficulties. [radiopaedia.org]

Finally, combined treatment modalities and complete management of the disease can give the patient a better prognosis and an increased chance of survival. [karger.com]

Prognosis As long as damage to the kidneys from infection or back pressure has not become significant, the surgical repair of troublesome ureteral defects produces excellent long-term results in the great majority of cases. [healthofchildren.com]

With appropriate management, the ultimate prognosis of duplicated ureter, ureteral ectopia, or ureterocele is excellent. Pathophysiology Ureteral embryology is fundamental in understanding abnormal development of the ureter. [emedicine.medscape.com]

Rank WB, Mellinger GT, Spiro E (1960) Ureteral diverticula: etiologic considerations. J Urol 83: 566–569 Google Scholar Copyright information Authors and Affiliations O Cussenot 1 2 F Desgrandchamps 2 P Teillac 2 A Lesourd 3 1. [link.springer.com]

Etiology Clinical features Diagnostics Ultrasound imaging of the kidneys and bladder First-line imaging modality Detects anatomical abnormalities Renal ultrasound is warranted for all children with recurrent UTIs or UTI in children 24 months of age. [amboss.com]

The MS provided sufficient kidney drainage for 4 months. [20] Nagele et al. studied 14 patients (18 collecting systems) with ureteral obstruction of both benign (5 ureters) and malignant etiologies (13 ureters). [indianjurol.com]

Epidemiology of the Duplex Kidney Prevalence 1:150 (0.67%) Etiology of the Duplex Kidney Two ureteral buds: The reason for a complete ureteral duplication are two ureteral buds on the mesonephric duct (Wolffian duct). [urology-textbook.com]

Epidemiology of the Duplex Kidney Prevalence 1:150 (0.67%) Etiology of the Duplex Kidney Two ureteral buds: The reason for a complete ureteral duplication are two ureteral buds on the mesonephric duct (Wolffian duct). [urology-textbook.com]

Epidemiology United States statistics In autopsy series, the incidence of ureteral duplication is estimated at slightly less than 1%. In studies of young children with UTIs, the incidence of duplication rises to 8%. [emedicine.medscape.com]

EPIDEMIOLOGY  Incidence of ureteral duplication- 1% (autopsy series).  Ureteroceles- 1 per 5000-12000 population; 10% bilateral, 60-80% ectopic, 80% a/w upper-pole ureter of a duplex system. [slideshare.net]

Pathophysiology [ edit ] Ureteral development begins in the human fetus around the 4th week of embryonic development. [en.wikipedia.org]

CrossRef PubMed Google Scholar Koff, S.A. (1990) Pathophysiology of ureteropelvic junction obstructions. Urol. Clin. North. Am. 17, 263–272. [link.springer.com]

Pathophysiology Ureteral embryology is fundamental in understanding abnormal development of the ureter. Ureteral development begins as early as 4 weeks' gestation. [emedicine.medscape.com]

PATHOPHYSIOLOGY & EMBRYOLOGY Ureteral bud branch from mesonephric/Wolffian duct Extends into nephrogenic blastema(undifferentiated mesenchyma) Formation of the entire renal collecting system Distal to ureteric bud, mesonephric duct incorporates into UGS [slideshare.net]

This chapter will discuss the terminology, incidence, embryology and pathophysiology of duplex kidneys. The management of reflux into duplex kidneys, ectopic ureters and ureteroceles will then be discussed. [pediatricurologybook.com]

Close monitoring and follow-up is very important and may contribute to the prevention of complications in these patients. [ncbi.nlm.nih.gov]

Prevention The cause of congenital ureter anomalies is not known. There is no prevention. Resources BOOKS Colberg, John W. "Urologic Abnormalities of the Genitourinary Tract." Chapter 21, section 16, in Rudolph's Pediatrics, 21st ed. [healthofchildren.com]

If symptoms are not too severe, doctors sometimes give children daily preventive antibiotics to prevent infection. Children with more severe symptoms usually need surgery to correct the problem and ensure urine drains properly. [merckmanuals.com]