Ectopic ureter: A concise narrative review with anatomical and clinical commentaries

Background: The ectopic ureter is any single or duplex ureter that enters beyond the anatomical area of the triangle of the urinary bladder. Abnormal ureter opening is one of the rare defects resulting from abnormalities in fetal development. The present study focuses on an up-to-date narrative revi...

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Main Authors: Krzysztof Balawender, Agata Wawrzyniak, Anna Pliszka, Anna Józefiak, Sebastian Siwak, Daniel Sokół, Edward Clarke, Agata Olszewska, Małgorzata Mazur, Agata Mazurek, Karolina Barszcz, Andrzej Żytkowski
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Translational Research in Anatomy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214854X22000668
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author Krzysztof Balawender
Agata Wawrzyniak
Anna Pliszka
Anna Józefiak
Sebastian Siwak
Daniel Sokół
Edward Clarke
Agata Olszewska
Małgorzata Mazur
Agata Mazurek
Karolina Barszcz
Andrzej Żytkowski
author_facet Krzysztof Balawender
Agata Wawrzyniak
Anna Pliszka
Anna Józefiak
Sebastian Siwak
Daniel Sokół
Edward Clarke
Agata Olszewska
Małgorzata Mazur
Agata Mazurek
Karolina Barszcz
Andrzej Żytkowski
author_sort Krzysztof Balawender
collection DOAJ
description Background: The ectopic ureter is any single or duplex ureter that enters beyond the anatomical area of the triangle of the urinary bladder. Abnormal ureter opening is one of the rare defects resulting from abnormalities in fetal development. The present study focuses on an up-to-date narrative review of the clinical and anatomical aspects of the ectopic ureter and coexisting urinary tract abnormalities. Materials and methods: This review includes an analysis of the literature on the ectopic ureter and coexisting urinary tract anomalies. A query was conducted in electronic databases (PubMed, Web of Science, and ScienceDirect) to investigate the abovementioned topic. The literature search was based on the following criteria and keywords: ectopic ureter, duplication of the ureter, and ureterocele. The date and language of publication were not the exclusion criteria. Conclusion and outcome of the review: The ectopic ureter is one of the anomalies among congenital abnormalities of the kidney and urinary tract. In about four out of five cases, it coexists with other defects of the upper urinary tract, such as ureter duplication and ureterocele. Urinary incontinence is the main symptom of ectopic ureter among women due to the most common location of the ureter orifice below the bladder sphincter. It may be asymptomatic or mildly symptomatic in men and cause recurrent epididymitis or urinary tract infections. Treatment of this disease consists of constant observation by regular control visits, and when the abnormality becomes symptomatic, a surgical procedure should be performed. It should be underlined that after finding an anatomical defect of the urinary system, clinicians should consider whether it causes disturbing symptoms and whether its corrective maintenance operation will be beneficial to the patient.
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spelling doaj.art-591d1cf8f3fa4e9087ef93412fd6d41e2022-12-22T02:57:29ZengElsevierTranslational Research in Anatomy2214-854X2022-11-0129100220Ectopic ureter: A concise narrative review with anatomical and clinical commentariesKrzysztof Balawender0Agata Wawrzyniak1Anna Pliszka2Anna Józefiak3Sebastian Siwak4Daniel Sokół5Edward Clarke6Agata Olszewska7Małgorzata Mazur8Agata Mazurek9Karolina Barszcz10Andrzej Żytkowski11Morphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandMorphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandMorphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandMorphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandMorphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandMorphological Sciences Department, Institute of Medical Sciences, Medical College of Rzeszow University, PolandDepartment of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, PolandDepartment of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, PolandDepartment of Anatomy, Jagiellonian University Medical College, Kraków, PolandDepartment of Anatomy, Jagiellonian University Medical College, Kraków, PolandDepartment of Morphological Sciences, Institute of Veterinary Medicine, Warsaw University of Life Sciences, PolandNorbert Barlicki Memorial Teaching Hospital No. 1 of the Medical University of Lodz, Poland; Faculty of Philology, Department of Polish Dialectology and Logopedics, University of Lodz, Poland; Corresponding author. University of Lodz, ul. Pomorska 171/173, 91-404, Łódź, Poland.Background: The ectopic ureter is any single or duplex ureter that enters beyond the anatomical area of the triangle of the urinary bladder. Abnormal ureter opening is one of the rare defects resulting from abnormalities in fetal development. The present study focuses on an up-to-date narrative review of the clinical and anatomical aspects of the ectopic ureter and coexisting urinary tract abnormalities. Materials and methods: This review includes an analysis of the literature on the ectopic ureter and coexisting urinary tract anomalies. A query was conducted in electronic databases (PubMed, Web of Science, and ScienceDirect) to investigate the abovementioned topic. The literature search was based on the following criteria and keywords: ectopic ureter, duplication of the ureter, and ureterocele. The date and language of publication were not the exclusion criteria. Conclusion and outcome of the review: The ectopic ureter is one of the anomalies among congenital abnormalities of the kidney and urinary tract. In about four out of five cases, it coexists with other defects of the upper urinary tract, such as ureter duplication and ureterocele. Urinary incontinence is the main symptom of ectopic ureter among women due to the most common location of the ureter orifice below the bladder sphincter. It may be asymptomatic or mildly symptomatic in men and cause recurrent epididymitis or urinary tract infections. Treatment of this disease consists of constant observation by regular control visits, and when the abnormality becomes symptomatic, a surgical procedure should be performed. It should be underlined that after finding an anatomical defect of the urinary system, clinicians should consider whether it causes disturbing symptoms and whether its corrective maintenance operation will be beneficial to the patient.http://www.sciencedirect.com/science/article/pii/S2214854X22000668Anatomical variationEctopic ureterUreter duplicationUreterocele
spellingShingle Krzysztof Balawender
Agata Wawrzyniak
Anna Pliszka
Anna Józefiak
Sebastian Siwak
Daniel Sokół
Edward Clarke
Agata Olszewska
Małgorzata Mazur
Agata Mazurek
Karolina Barszcz
Andrzej Żytkowski
Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
Translational Research in Anatomy
Anatomical variation
Ectopic ureter
Ureter duplication
Ureterocele
title Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
title_full Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
title_fullStr Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
title_full_unstemmed Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
title_short Ectopic ureter: A concise narrative review with anatomical and clinical commentaries
title_sort ectopic ureter a concise narrative review with anatomical and clinical commentaries
topic Anatomical variation
Ectopic ureter
Ureter duplication
Ureterocele
url http://www.sciencedirect.com/science/article/pii/S2214854X22000668
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