Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula
A 43-year-old woman presented with 20-year history of leakage of urine per vaginam. She had one failed repair attempt. Pelvic examination with dye test showed leakage of clear urine suggestive of ureterovaginal fistula. The preoperative intravenous urogram revealed duplex ureter and cystoscopy showe...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2014/801063 |
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| author | Imran O. Morhason-Bello Sikiru A. Adebayo Rukiyat A. Abdusalam Oluwasomidoyin O. Bello Kehinde H. Odubamowo Olatunji O. Lawal E. Oluwabunmi Olapade-Olaopa Oladosu A. Ojengbede |
| author_facet | Imran O. Morhason-Bello Sikiru A. Adebayo Rukiyat A. Abdusalam Oluwasomidoyin O. Bello Kehinde H. Odubamowo Olatunji O. Lawal E. Oluwabunmi Olapade-Olaopa Oladosu A. Ojengbede |
| author_sort | Imran O. Morhason-Bello |
| collection | DOAJ |
| description | A 43-year-old woman presented with 20-year history of leakage of urine per vaginam. She had one failed repair attempt. Pelvic examination with dye test showed leakage of clear urine suggestive of ureterovaginal fistula. The preoperative intravenous urogram revealed duplex ureter and cystoscopy showed normally cited ureteric orifices with two other ectopic ureteric openings and bladder diverticula. The definitive surgery performed was ureteric reimplantation (ureteroneocystostomy) of the two distal ureteric to 2 cm superiolateral to the two normal orifices and diverticuloplasty. There was resolution of urinary incontinence after surgery. Three months after surgery, she had urodynamic testing done (cystometry), which showed 220 mLs with no signs of instability or leakage during filling phase but leaked on coughing at maximal bladder capacity. This is to showcase some diagnostic dilemma that could arise with obstetric fistula, which is generally diagnosed by clinical assessment. |
| format | Article |
| id | doaj-art-2148a791e8a446b79f84a10066a62ffa |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-2148a791e8a446b79f84a10066a62ffa2025-02-03T05:59:09ZengWileyCase Reports in Urology2090-696X2090-69782014-01-01201410.1155/2014/801063801063Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric FistulaImran O. Morhason-Bello0Sikiru A. Adebayo1Rukiyat A. Abdusalam2Oluwasomidoyin O. Bello3Kehinde H. Odubamowo4Olatunji O. Lawal5E. Oluwabunmi Olapade-Olaopa6Oladosu A. Ojengbede7Genitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaUrology Division, Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaGenitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaGenitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaGenitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaGenitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaUrology Division, Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaGenitourinary Medicine and Urogynaecology Unit, Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, NigeriaA 43-year-old woman presented with 20-year history of leakage of urine per vaginam. She had one failed repair attempt. Pelvic examination with dye test showed leakage of clear urine suggestive of ureterovaginal fistula. The preoperative intravenous urogram revealed duplex ureter and cystoscopy showed normally cited ureteric orifices with two other ectopic ureteric openings and bladder diverticula. The definitive surgery performed was ureteric reimplantation (ureteroneocystostomy) of the two distal ureteric to 2 cm superiolateral to the two normal orifices and diverticuloplasty. There was resolution of urinary incontinence after surgery. Three months after surgery, she had urodynamic testing done (cystometry), which showed 220 mLs with no signs of instability or leakage during filling phase but leaked on coughing at maximal bladder capacity. This is to showcase some diagnostic dilemma that could arise with obstetric fistula, which is generally diagnosed by clinical assessment.http://dx.doi.org/10.1155/2014/801063 |
| spellingShingle | Imran O. Morhason-Bello Sikiru A. Adebayo Rukiyat A. Abdusalam Oluwasomidoyin O. Bello Kehinde H. Odubamowo Olatunji O. Lawal E. Oluwabunmi Olapade-Olaopa Oladosu A. Ojengbede Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula Case Reports in Urology |
| title | Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula |
| title_full | Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula |
| title_fullStr | Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula |
| title_full_unstemmed | Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula |
| title_short | Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula |
| title_sort | bilateral double ureters with bladder neck diverticulum in a nigerian woman masquerading as an obstetric fistula |
| url | http://dx.doi.org/10.1155/2014/801063 |
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