DOI: http://dx.doi.org/10.18203/issn.2454-2156.IntJSciRep20172510

Incidental diagnosis of asymptomatic unilateral complete duplication of ureter during total laparoscopic hysterectomy

Duraisamy Kavitha Yogini, Ramakrishnan Parthasarathi, Chinnusamy Palanivelu, Balasubramaniam Devi, Periyasamy Kodeeswari

Abstract


Duplication of ureter is one of the common renal abnormality frequently encountered by gynaecologist during surgeries. It occurs in approximately 1% of the population. We are reporting a case of asymptomatic unilateral (left) double ureter which was incidentally diagnosed during Total Laparoscopic Hysterectomy as it is important to know the developmental anatomy of ureter and its anatomical variants. A gynaecologist should know about the clinical significance of it as well to avoid injury to ureter during hysterectomies which is the commonly performed gynaecological surgery worldwide.


Keywords


Duplication ureter, Double ureter, Developmental anomaly ureter, Laparoscopy

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References


Tanaka Y, Koyama S, Shiki Y. Duplicated ureter diagnosed during total laparoscopic hysterectomy. Gynecol Minimally Invasive Therapy. 2013;31;2(3):99-100.

Fernbach SK, Feinstein KA, Spencer K, Lindstrom CA. Ureteral duplication and its complications. Radiographics. 1997;17(1):109-27.

Liapis A, Bakas P, Giannopoulos V, Creatsas G. Ureteral injuries during gynecological surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(6):391-3.

Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004;328(7432):129.

Härkki-Sirén P, Sjöberg J, Tiitinen A. Urinary tract injuries after hysterectomy. Obstet Gynecol. 1998;92(1):113-8.

Brummer TH, Seppälä TT, Härkki PS. National learning curve for laparoscopic hysterectomy and trends in hysterectomy in Finland 2000-2005. Hum Reprod. 2008;23(4):840.

Jacoby VL, Autry A, Jacobson G, Domush R, Nakagawa S, Jacoby A. Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches. Obstet Gynecol. 2009;114(5):1041-8.

Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol. 2007;110(5):1091-5.

Donnez O, Jadoul P, Squifflet J, Donnez J. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG. 2009;116(4):492-500.

Ibeanu OA, Chesson RR, Echols KT, Nieves M, Busangu F, Nolan TE. Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 2009;113(1):6-10.

Dandolu V, Mathai E, Chatwani A, Harmanli O, Pontari M, Hernandez E. Accuracy of cystoscopy in the diagnosis of ureteral injury in benign gynecologic surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(6):427-31.

Kuno K, Menzin A, Kauder HH, Sison C, Gal D. Prophylactic ureteral catheterization in gynecologic surgery. Urology. 1998;52(6):1004-8.

Chou MT, Wang CJ, Lien RC. Prophylactic ureteral catheterization in gynecologic surgery: a 12-year randomized trial in a community hospital. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(6):689-93.

Vakili B, Chesson RR, Kyle BL, Shobeiri SA, Echols KT, Gist R, et al. The incidence of urinary tract injury during hysterectomy: a prospective analysis based on universal cystoscopy. Am J Obstet Gynecol. 2005;192(5):1599-604.

American Association of Gynecologic Laparoscopists (AAGL). AAGL practice report: practice guidelines for intraoperative cystoscopy in laparoscopic hysterectomy. J Minim Invasive Gynecol. 2012;19(4):407-11.

Kim JH, Moore C, Jones JS, Rackley R, Daneshgari F, Goldman H, et al. Management of ureteral injuries associated with vaginal surgery for pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17(5):531-5.