Sonopath Forum

ectoppic ureter?

this is a 7 month old Tibetian Mastiff. The pup has a history of urinary leakage noticed since 9 weeksof age now more obvious to owner with large pools of urine in sleep.Pe normal, ua normal. u/s renal normal. i do not get many channces to look for ectopic uretersbut i am suspcious so I’m sending so video. If it is does anyone know what the current treatment is , non-surgical??,interventional??thanks

Comments

July 28, 2016 at 12:34 pm -

Follow this tube caudally

Follow this tube caudally with a hi res linear probe if you have it (see attached screen shot). Put CF on it to ensure not a vessel but this looks like an ect ureter hbypassing the trigone and heading to the urethra.

Here is a helpful search on the subject

http://sonopath.com/members/case-studies/search?text=ectopic+ureter&species=All

randyhermandvm

July 28, 2016 at 1:25 pm -

What sex is this dog? Is

What sex is this dog? Is their leakage during the day when awake?

I am not doubting an ectopic ureter.

You may also want to consider a persistent hymen at the junction of the vagina and vestibule where the paramesonephric duct joins the urogenital sinus. incomplete perforation of the hymen can cause an annular stricture or a vertical septum or band. Affected bitches most often have breeding difficulties, chronic vaginitis or urinary incontinence (pooling of urine behind the band).

Just another thought.

rlobetti

July 28, 2016 at 3:35 pm -

Regarding treatment –

Regarding treatment – surgical intervention is required as medical mangement is ineffective.

July 28, 2016 at 7:51 pm -

Traditional surgery and

Traditional surgery and endoscopy guided laser ablation are the options depending where you are in the world. At AMC in NYC Berent and Weiss initiated the EGLA of ect ureters if you happen to be near there.