ECTOPIC URETER - AN ADULT PRESENTATION

ABSTRACT BACKGROUND Abnormalities of ureteral development including ectopic ureters and ureteroceles represent a large component of clinical urology.They continue to challenge clinical management, despite their wide recognition and well-defined surgical strategies. The wide spectrum of involvement and the variable patterns of presentation underlie the clinical challenge and require a thorough understanding of both normal and abnormal embryology of the lower urinary tract.The pathogenesis of ureteral ectopia with or without a ureterocele rests in ureterotrigonal and renal development.This involves the common nephric duct ,ureteral budding, ureterometanephric interactions, and bladder and trigone development. Ectopic ureters can arise due to abnormal timing or location of the primary ureteral budding from the mesonephric ducts. That temporospatial location will determine both the character of the ureter incorporated into the emerging bladder, as well as the development of the trigone and kidne