PEDIATRICS Vol. 85 No. 2 February 1990, pp. 217-219
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Embolization of Ectopic Kidney to Control Incontinence

B. DE GROOTE MD1, P. VAN LAER MD1, K. MAURUS MD1, J. P. VAN BIERVLIET MD1, and L. MEEUS MD2

1 Dept of Pediatrics
2 Dept of Radiology, A.Z. Sint-Jan, Brugge, Belgium

Ureteral ectopy in girls can cause dribbling incontinence if the ectopic ureter ends below the continence mechanism of bladder neck and external sphincter. Approximately 25% of ectopic ureters drain into the vagina. The corresponding renal tissue is often hypoplastic or dysplastic. Surgery used to be the treatment of choice. Depending on the quality of the corresponding renal tissue, one had the choice between ureter reimplantation or partial or total nephrectomy. We succeeded in treating a girl with a hypoplastic kidney and an ectopic ureter nonsurgically by embolizing the corresponding renal artery.

CASE REPORT

A 5-frac12-year-old girl had leakage of urine in spite of a normal voiding pattern.

Submitted on December 28, 1988
Accepted on March 31, 1989