Case of reno-ureteral duplication with permanent urinary incontinence

Abstract

Introduction: Duplex renal collecting system in children is a common urinary malformation, a clinical entity which often eludes diagnosis because of its lack of pronounced symptomatology, resulting in its true prevalence being uncertain.

Case presentation: We present a case of a 17-year-old female admitted to the Pediatric Surgery department of Emergency County Clinical Hospital in Targu Mures with acute onset urinary incontinence. Due to her non-contributory medical history, they decided to proceed with an ultrasonography and a three-dimensional urography which indicated two distinct ureters exiting the right kidney, one of them with an ectopic insertion into the vaginal vault. The management of the case was a to proceed with a distal ureteroureterostomy, a sparing kidney surgery, with an end-to-side anastomosis. Following the surgery, the patient had a quick recovery and a complete resolution of her urinary incontinence.

Conslusions: In conclusion, this malformation can be clinically silent, but once diagnosed, a surgical management should be taken into account, keeping in mind that urinary incontinence can have a psychological and social impact on the well-being of the patient.