Skip to main content
SpringerLink
Log in

Ureteral Malformations

  • Chapter
Radiological Imaging of the Ureter

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 279 Accesses

Abstract

Ureteral malformations are common malformations of differing degrees of severity. They are much more often found in young children or antenatally than in adults. Knowledge of normal and abnormal development of the ureter allows an understanding of the imaging findings. In this chapter, congenital anomalies of the uretero-pyelic junction will not be considered as true ureteral malformations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Abrahamsson K, Hansson E, Sillen U, et al (1998) Bladder dysfunction: an integral part of the ectopic ureterocele complex. J Urol 160:1468–1470

    Article  PubMed  CAS  Google Scholar 

  • Albers P, Foster RS, Bihrle R, et al (1995) Ectopic ureters and ureteroceles in adults. Urology 45:870–874

    Article  PubMed  CAS  Google Scholar 

  • Amitai M, Hertz M, Jonas P, et al (1992) Ectopic ureterocele in adults with a comparison of the anomaly in children. Urol Radiol 13:181–186

    Article  PubMed  CAS  Google Scholar 

  • Arant BS jr (1991) Vesicoureteric reflux and renal injury. Am J Kidney Dis 17:491–511

    PubMed  Google Scholar 

  • Assael BM, Guez S, Marra G, et al (1998) Congenital reflux nephropathy: a follow-up of 108 cases diagnosed perinatally. Br J Urol 82:252–257

    Article  PubMed  CAS  Google Scholar 

  • Avni EF, Schulman CC (1996) The origin of vesico-ureteric reflux in male newborns: further evidence in favour of a transient fetal urethral obstruction. Br J Urol 78:454–459

    Article  PubMed  CAS  Google Scholar 

  • Avni EF, Ayadi K, Rypens F, et al (1997) Can careful ultrasound examination of the urinary tract exclude vesicoureteric reflux in the neonate? Br J Radiol 70:977–982

    PubMed  CAS  Google Scholar 

  • Avni FE, Hall M, Schulman CC (1998) Congenital uronephropathies: is routine voiding cystourethrography always warranted? Clin Radiol 53:247–250

    Article  PubMed  CAS  Google Scholar 

  • Bellah RD, Long FR, Canning DA (1995) Ureterocele eversion with vesicoureteral reflux in duplex kidneys: findings at voiding cystourethrography. AJR 165:409–413

    PubMed  CAS  Google Scholar 

  • Blair D, Rigsby C, Rosenfield AT (1987) The nubbin sign on computed tomography and sonography. Urol Radiol 9:149–151

    Article  PubMed  CAS  Google Scholar 

  • Blane CE, Dipietro MA, Zerin JM, et al (1993) Renal sonography is not a reliable screening examination for vesicoureteral reflux. J Urol 150:752–755

    PubMed  CAS  Google Scholar 

  • Bonnin F, Le Stanc E, Lottmann H, et al (1998) Urology and nuclear medicine in children. Experience from a series of 1200 renal scintigraphies. Ann Urol (Paris) 32:186–190

    CAS  Google Scholar 

  • Borthne A, Nordshus T, Reiseter T, et al (1999) MR urography: the future gold standard in paediatric urogenital imaging? Pediatr Radiol 29:694–701

    Article  PubMed  CAS  Google Scholar 

  • Bourlière-Najean B, Panuel M, Faure F, et al (1994) Comparison of radiation dose between conventional and digital cystography in children. Rev Im Med 6:687–689

    Google Scholar 

  • Braun-Quentin C, Billes C, Bowing B, et al (1996) MURCS association: case report and review. J Med Genet 33:618–620

    Article  PubMed  CAS  Google Scholar 

  • Carrico C, Lebowitz RL (1998) Incontinence due to an intrasphincteric ectopic ureter: why the delay in diagnosis and what the radiologist can do about it? Pediatr Radiol 28:942–949

    Article  PubMed  CAS  Google Scholar 

  • Chateil JF, Diard F, Castell JF (1991) Uropathies et malformations du haut appareil. EMC Radiognost Urogynecol 34570, A10

    Google Scholar 

  • Cleveland RH, Constantinou C, Blickman JG, et al (1992) Voiding cystourethrography in children: value of digital fluoroscopy in reducing radiation dose. AJR 158:137–142

    PubMed  CAS  Google Scholar 

  • Connolly LP, Treves ST, Connolly SA. et al (1997) Vesicoureteral reflux in children: incidence and severity in siblings. J Urol 157:2287–2290

    Article  PubMed  CAS  Google Scholar 

  • Currarino G, Wood B, Majd M (1993) The genitourinary tract and retroperitoneum. In: Silverman FN, Kuhn JP (eds) Caffey’s pediatric X-ray diagnosis. Mosby, St. Louis, pp 1145–1318

    Google Scholar 

  • Dacher JN, Douvrin F, Monroc M, et al (1997) Mid-ureteric cyst: a variant of ureterocele disproportion. Pediatr Radiol 27:559

    Article  PubMed  CAS  Google Scholar 

  • Darge K, Troeger J, Duetting T, et al (1999) Reflux in young patients: comparison of voiding US of the bladder and retrovesical space with echo enhancement versus voiding cystourethrography for diagnosis. Radiology 210:201–207

    PubMed  CAS  Google Scholar 

  • Davey MS, Zerin JM, Reilly C, et al (1997) Mild renal pelvic dilatation is not predictive of vesicoureteral reflux in children. Pediatr Radiol 27:908–911

    Article  PubMed  CAS  Google Scholar 

  • Devaussuzenet V, Dacher JN, Eurin D, et al (1997) Postnatal echography and cystography after prenatal diagnosis of minor dilatation of the kidney pelvis. Prospective study of 89 cases. J Radiol 78:27–31

    PubMed  CAS  Google Scholar 

  • Devred P, Bourlière-Najean B, Meyrat B, et al (1995) Pathologie malformative. In: Devred P (ed) Imagerie de l’appareil urinaire de l’enfant. Masson, Paris, pp 55–106

    Google Scholar 

  • Dipietro MA, Blane CE, Zerin JM (1997) Vesicoureteral reflux in older children: concordance of US and voiding cystourethrographic findings. Radiology 205:821–822

    PubMed  CAS  Google Scholar 

  • Dure-Smith P, Wiley TE III, Suh RD, et al (1999) The ureteric ring Abdom. Imaging 24:426–428

    CAS  Google Scholar 

  • Engin G, Esen T, Rozanes I (2000) MR Urography findings of a duplicated ectopic ureter in an adult man. Eur Radiol 10:1253–1256

    Article  PubMed  CAS  Google Scholar 

  • Evans ED, Meyer JS, Harty MP, et al (1999) Assessment of increase in renal pelvic size on post-void sonography as a predictor of vesicoureteral reflux. Pediatr Radiol 29:291–294

    Article  PubMed  CAS  Google Scholar 

  • Friedland GW, Devries PA, Ninq-Murlia M (1990) Congenital anomalies of the urinary tract. In: Pollack HM (ed) Clinical urography: an atlas and textbook of uroradiological imaging, vol 1. Saunders, Philadelphia, pp 653–710

    Google Scholar 

  • Gelfand MJ, Koch BL, Elgazzar AH, et al (1999) Cyclic cystography: diagnostic yield in selected pediatric populations. Radiology 213:118–120

    PubMed  CAS  Google Scholar 

  • Glassberg KI, Braren V, Duckett JW, et al (1984) Suggested terminology for duplex systems, ectopic ureters and ureteroceles. J Urol 132:1153–1154

    PubMed  CAS  Google Scholar 

  • Golomb J, Ehrlich RM (1989) Bilateral ureteral triplication with crossed ectopic fused kidneys associated with the VACTERL syndrome. J Urol 14:1398–1399

    Google Scholar 

  • Gonzalez L, Vano E, Ruiz MJ (1995) Radiation doses to paediatric patients undergoing micturating cystourethrography examinations and potential reduction by radiation protection optimization. Br J Radiol 68:291–295

    Article  PubMed  CAS  Google Scholar 

  • Gross GW, Lebowitz RL (1981) Infection does not cause reflux. AJR 137:929–932

    PubMed  CAS  Google Scholar 

  • Hamilton S, Fitzpatrick JM (1987) Primary nonobstructive megaureter in adults. Clin Radiol 38:181–185

    Article  PubMed  CAS  Google Scholar 

  • Hawas N, Noah M, Pattel PJ (1987) Blind-ending bifid ureter: clinical significance? Analysis of 13 cases with review of the literature. Eur Urol 13:39–43

    PubMed  CAS  Google Scholar 

  • Klein LT, Frager D, Subramanium A, et al (1998) Use of magnetic resonance urography. Urology 52:602–608

    Article  PubMed  CAS  Google Scholar 

  • Kleinman PK, Diamond DA, Karellas A, et al (1994) Tailored low-dose fluoroscopic voiding cystourethrography for the reevaluation of vesicoureteral reflux in girls. AJR 162:1151–1154

    PubMed  CAS  Google Scholar 

  • Lebowitz RL, Olbing H, Parkkulainen K, et al (1985) International system of radiographie grading of vesicoureteric reflux. International Reflux Study in Children. Pediatr Radiol 15:105–109

    Article  PubMed  CAS  Google Scholar 

  • Mentzel HJ, Vogt S, Patzer L, et al (1999) Contrast-enhanced sonography of vesicoureterorenal reflux in children: preliminary results. AJR 173:737–740

    PubMed  CAS  Google Scholar 

  • Meyer JS, Lebowitz RL (1992) Primary megaureter in infants and children: a review. Urol Radiol 14:296–305

    Article  PubMed  CAS  Google Scholar 

  • Merrot T, Alessandrini P (1996) Bilateral persistence of the common mesonephric duct in children. Prog Urol 6:582–586

    PubMed  CAS  Google Scholar 

  • Mitty HA, Schapira HF (1977) Ureterocele and pseudoureterocele: cobra versus cancer. J Urol 177:557–561

    Google Scholar 

  • Monfort G, Guys JM, Coquet M, et al (1992) Surgical management of duplex ureteroceles. J Pediatr Surg 27:634–638

    Article  PubMed  CAS  Google Scholar 

  • Moore KL (1988) The developing human: clinically oriented embryology, 4th edn. Saunders, Philadelphia

    Google Scholar 

  • Moscovici J, Galinier P, Berrogain N, et al (1999) Management of ureteroceles with pyelo-ureteral duplication in children. Report of 64 cases. Ann Urol (Paris) 33:369–376

    CAS  Google Scholar 

  • Mosli HA, Schillinger JF, Futter N (1986) Inverted Y duplication of the ureter. J Urol 135:126–127

    PubMed  CAS  Google Scholar 

  • Nolte-Ernsting CC, Bucker A, Adam GB, et al (1998) Gadolinium-enhanced excretory MR urography after low-dose diuretic injection: comparison with conventional excretory urography. Radiology 209:147–157

    PubMed  CAS  Google Scholar 

  • Pal CR, Tuson JR, Lindsell DR, et al (1998) The role of micturating cystourethrography in antenatally detected mild hydronephrosis. Pediatr Radiol 28:152–155

    Article  PubMed  CAS  Google Scholar 

  • Paltiel HJ, Rupich RC, Kiruluta HG (1992) Enhanced detection of vesicoureteral reflux in infants and children with use of cyclic voiding cystourethrography. Radiology 184:753–755

    PubMed  CAS  Google Scholar 

  • Pfister RC, Hendren WH (1978) Primary megaureter in children and adults. Clinical and pathological features of 150 ureters. Urology 2:160–176

    Article  Google Scholar 

  • Ring E, Zobel G (1988) Urinary infection and malformations of urinary tract in infancy. Arch Dis Child 63:818–820

    Article  PubMed  CAS  Google Scholar 

  • Rittler M, Paz JE, Castilla EE (1996) VACTERL association, epidemiologic definition and delineation. Am J Med Genet 63:529–536

    Article  PubMed  CAS  Google Scholar 

  • Robben SG, Boesten M, Linmans J, et al (1999) Significance of thickening of the wall of the renal collecting system in children: an ultrasound study. Pediatr Radiol 29:736–740

    Article  PubMed  CAS  Google Scholar 

  • Schulman SL, Snyder HM (1993) Vesicoureteral reflux and reflux nephropathy in children. Curr Opin Pediatr 5:191–197

    Article  PubMed  CAS  Google Scholar 

  • Sheridan M, Jenkes Gough DCS (1991) Reflux nephropathy in the first year of life: the role of infection. Pediatr Surg Int 6:214–216

    Article  Google Scholar 

  • Siegel MJ (1995) Urinary tract. In: Siegel MJ (ed) Pediatric sonography. Raven, New York, pp 357–435

    Google Scholar 

  • Sigmund G, Stoever B, Zimmerhackl LB, et al (1991) RAREMR-urography in the diagnosis of upper urinary tract abnormalities in children. Pediatr Radiol 21:416–420

    Article  PubMed  CAS  Google Scholar 

  • Sillen U (1999) Vesicoureteral reflux in infants. Pediatr Nephrol 13:355–361

    Article  PubMed  CAS  Google Scholar 

  • Smellie JM, Tamminen-Mobius T, Olbing H, et al (1992) Fiveyear study of medical or surgical treatment in children with severe reflux: radiological renal findings. The International Reflux Study in Children. Pediatr Nephrol 6:223–230

    Article  PubMed  CAS  Google Scholar 

  • Sumfest JM, Burns MW, Mitchell ME (1995) Pseudoureterocele: potential for misdiagnosis of an ectopic ureter as a ureterocele. Br J Urol 75:401–405

    Article  PubMed  CAS  Google Scholar 

  • Talner LB (1990) Specific causes of obstruction. In: Pollack HM (ed) Clinical urography: an atlas and textbook of uroradiological imaging, vol 2. Saunders, Philadelphia, pp 1629–1751

    Google Scholar 

  • Tanagho EA (1973) Intrauterine fetal ureteral obstruction. J Urol 109:169–203

    Google Scholar 

  • Tanagho EA (1976) Embryologic basis for lower ureteral anomalies: a hypothesis. Urology 7:451–464

    Article  PubMed  CAS  Google Scholar 

  • Tang Y, Yamashita Y, Namimoto T, et al (1996) The value of MR urography that uses HASTE sequences to reveal urinary tract disorders. AJR Am J Roentgenol 167:497–502

    Google Scholar 

  • Taylor AJR, Clark S, Ball T (1994) Comparison of Tc-99m MAG3 and Tc-99m DTPA scintigraphy in neonates. Clin Nucl Med 19:575–580

    Article  PubMed  Google Scholar 

  • Vallee JP, Vallee MP, Greenfield SP, et al (1999) Contemporary incidence of morbidity related to vesicoureteral reflux. Urology 53:812–815

    Article  PubMed  CAS  Google Scholar 

  • Willi U, Treves S (1983) Radionuclide voiding cystography. Urol Radiol 5:161–173

    Article  PubMed  CAS  Google Scholar 

  • Wingen AM, Koskimies O, Olbing H, et al (1999) T Growth and weight gain in children with vesicoureteral reflux receiving medical versus surgical treatment: 10-year results of a prospective, randomized study. International Reflux Study in Children (European Branch). Acta Paediatr 88:56–61

    Article  PubMed  CAS  Google Scholar 

  • Zerin JM, Ritchey ML, Chang AC (1993) Incidental vesicoureteral reflux in neonates with antenatally detected hydronephrosis and other renal abnormalities. Radiology 187:157–160

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service d’Imagerie Médicale Hôpital Nord Chemin des Bourrelys, 13915, Marseille Cedex 20, France

    M. Panuel MD & K. Chaumoire MD

  2. Service de Radiologie, Hôpital de Rangueil, 1 avenue Jean Poulhes, 31403, Toulouse Cedex 4, France

    Ph. Otal MD, F. Joffre MD & V. Chabbert MD

  3. Service de Radiologie, Hôpital Enfant de la Timone, 264 rue Saint Oierre, 13385, Marseille Cedex 05, France

    Ph. Devred MD

  4. Service de Radiologie, B.G.H. Pellegrin Tripode, Place Amélie Raba Léon, 33076, Bordeaux Cedex, France

    N. Grenier MD

Authors
  1. M. Panuel MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ph. Otal MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ph. Devred MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Chaumoire MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Joffre MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. N. Grenier MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. V. Chabbert MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Service d’Urologie, Hôpital de Rangueil, 1, avenue Jean-Poulhès, 31403, Toulouse Cédex 4, France

    Francis Joffre MD (Professor, Chef de Service), Philippe Otal MD  & Michel Soulie MD (Professor, Chef de Service),  & 

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Panuel, M. et al. (2003). Ureteral Malformations. In: Joffre, F., Otal, P., Soulie, M. (eds) Radiological Imaging of the Ureter. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55831-3_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55831-3_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62994-5

  • Online ISBN: 978-3-642-55831-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation