Weekly News – May Weekly News – May 20102010
URINE INCONTINENCEURINE INCONTINENCE SINGLE ECTOPIC URETER SINGLE ECTOPIC URETER
Presented by: Dr. Pham Presented by: Dr. Pham Ngoc ThachNgoc Thach
KHOA NGOẠI THẬN NIỆU
CLINICAL CASE WITH LEAKAGECLINICAL CASE WITH LEAKAGE
• 6 years old female with chief 6 years old female with chief complain: leakagecomplain: leakage
• History: History: – Traffic accident 2 years ago, injury bony Traffic accident 2 years ago, injury bony
pelvispelvis– Explorative laparotomy and colostomyExplorative laparotomy and colostomy– Post operation: leakage Post operation: leakage neurogenic neurogenic
bladder with CIC, oxybutynine (2 years)bladder with CIC, oxybutynine (2 years)
CHILDREN’S HOSPITAL 2 – Department of Urology
• X-RAYX-RAY • UIVUIV
CHILDREN’S HOSPITAL 2 – Department of Urology
ULTRASOUNDULTRASOUND
CHILDREN’S HOSPITAL 2 – Department of Urology
URO-CTSCANURO-CTSCAN
CHILDREN’S HOSPITAL 2 – Department of Urology
• CYSTOGRAPHYCYSTOGRAPHY • VAGINOGRAPHVAGINOGRAPHYY
CHILDREN’S HOSPITAL 2 – Department of Urology
SURGICAL MANAGEMENTSURGICAL MANAGEMENT
• Vagino- cystoscopy: ectopic ureterVagino- cystoscopy: ectopic ureter• Ureteral re-implantationUreteral re-implantation
CHILDREN’S HOSPITAL 2 – Department of Urology
URINE INCONTINENCEURINE INCONTINENCE
• Trouble bladder movement, psycho Trouble bladder movement, psycho factor…factor…
• Neurogenic bladderNeurogenic bladder• Ectopic ureter, genito-urinary Ectopic ureter, genito-urinary
fistular post trauma…fistular post trauma…
CHILDREN’S HOSPITAL 2 – Department of Urology
SINGLE ECTOPIC URETERSINGLE ECTOPIC URETER
• Incidence: Incidence: 1/20001/2000• Occurring in females Occurring in females 6 times6 times more more
than in malesthan in males• 20%20% ectopic ureter with single system ectopic ureter with single system• 90%90% kidneys / single system do not kidneys / single system do not
functionfunction• Female: Female: incontinenceincontinence• Male: Male: epididymiteepididymite
CHILDREN’S HOSPITAL 2 – Department of Urology
SINGLE ECTOPIC URETERSINGLE ECTOPIC URETER
• UIV, ultrasound, cystography, Uro-CTscan, UIV, ultrasound, cystography, Uro-CTscan, DMSA…DMSA…
• VaginograpyVaginograpy• Cysto-vaginoscopyCysto-vaginoscopy
CHILDREN’S HOSPITAL 2 – Department of Urology
SINGLE
ECTOPIC
URETER
SALVAGEABLE
FUNCTION
REIMPLANTATION
LAPAROSCOPY
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