Open AccessEctopic insertion of the ureter into the seminal vesicle
Author(s) -
Mohamed Abou El-Ghar,
Tarek El-Diasty
Publication year - 2013
Publication title -
world journal of radiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8470
DOI - 10.4329/wjr.v5.i9.349
Subject(s) - medicine , ectopic ureter , seminal vesicle , urethra , vas deferens , ureter , urinary incontinence , urology , mesonephric duct , prostatic urethra , magnetic resonance imaging , vagina , prostate , anatomy , radiology , kidney , cancer
We present a case of left ectopic ureter insertion into the left seminal vesicle which is a rare anomaly. The incidence of ectopic insertion of the ureter is more common in females and is usually associated with incontinence, leading to the diagnosis, while in males it is present with infection. Ectopic ureter is defined as abnormal insertion of the ureter, occurring in the posterior urethra in approximately 50% of cases in males. Other sites include the seminal vesicle (approximately one-third), vas deferens, bladder neck, prostate and epididymis, while the urethra and vagina are commonly affected in females. Management is usually addressed to the upper tract only; if there is incontinence it requires removal of the ureteric stump. Our case was initially diagnosed by magnetic resonance imaging and the diagnosis confirmed by computed tomography (CT) guided seminal vesiculography as transrectal guidance for seminal vesiculography was refused by the patient. CT guided seminal vesiculography is less painful and more tolerable than the transrectal route.