Bilateral single system ectopic ureters with bilateral urethral insertion and horseshoes kidneys in a female child

Bilateral single system ectopic ureters with bilateral urethral insertion and horseshoes kidneys in a female child

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A 14-months old female child was diagnosed with bilateral single system ectopic ureters Axle;Idler opening into the urethra, with small bladder capacity, horseshoes kidneys, and bilateral hydronephrosis, presenting recurrent febrile UTI accompanied by continuous incontinence and elevated renal function.Early bilateral re-implantation of the ureters (modified Lich-Gregoir) was done in one setting, resulting jn no recurring febrile UTIs and continuous wetting, improving renal function parameter, competent bladder neck, and 10 folds increased in bladder capacity after 1-year follow up.We showed that earlier treatment Specialist Vacuum Cleaners enables patient to preserve both renal and bladder function without involving complex reconstructive surgery.