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Congenital urinary tract abnormalities
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== Ureter == * Ectopic ureters ** Almost always a/w ureteric duplication ** In females - opens into the urethra below the sphincter or the vagina. Typical history is of dribbling for as long as she can remember. ** In males - the opening is above the external urethral sphincter so the patient is continent. Infection is common, since they are likely to be functionally abnormal. ** Refluxing ureters might need reimplantation ** Ectopic ureters in females often drain chronically infected renal tissue - best excised * Ureterocoele ** Cystic enlargement of the intramural ureter, probably due to atresia of the ureteric orifice ** Usually present with infection in childhood ** In adults, typically present with stones in the lower ureter ** Endoscopic incision can release a stone stuck in a ureterocoele ** Nephrectomy may be required for hydronephrosis and severe cases * Congenital megaureter ** Ureteric dilation with or without obstruction ** Mostly presents in childhood with severe infections ** Stones can form * Retrocaval ureter ** Can lead to obstruction and the need to surgically move the IVC *** [[Category:Urology]]
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