Int Urogynecol J (2017) 28:1431–1433 DOI 10.1007/s00192-017-3383-7 IMAGES IN UROGYNECOLOGY Transvaginal approach to distal ureterectomy in an obstructed remnant 1 1 1 Alyssa Greiman & Lauren Rittenberg & Eric Rovner Received: 10 March 2017 /Accepted: 13 May 2017 /Published online: 7 June 2017 The International Urogynecological Association 2017 Keywords Distal ureterectomy, transvaginal Duplicated Case study collecting system Urinary tract infections, relapsing A 61-year-old woman with a history of bilateral duplicated urinary systems presented with relapsing Klebsiella urinary tract infections despite culture-proven appropriate antibiotic Introduction treatment and daily prophylactic antibiotics. Review of her records was notable for laparoscopic right upper pole Duplex kidneys are a common anomaly of the upper heminephrectomy with partial ureterectomy 10 years previ- urinary tract with an estimated incidence of 0.8% and ously, as well as placement of a midurethral sling 15 years can be associated with vesicoureteral reflux, duplication previously and a urethral diverticulectomy in her 20s, all done of the collecting system and ureters, and ureteral ectopy at outside institutions. . When the upper renal moiety is dysplastic, an upper On presentation, her examination was notable for ten- pole heminephrectomy can be performed. In the setting derness on vaginal palpation at the sling, but
International Urogynecology Journal – Springer Journals
Published: Jun 7, 2017
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