異所開口尿管を伴う低形成腎による尿失禁に対してTAE が著効した1例

Abstract

We report a 21-year-old woman, who presented with a major complaint of urinary incontinence without dry time. On the basis of computed tomographic examination and vaginography, she was diagnosed as having a hypoplastic left kidney with a solitary ectopic ureteral opening on the left. Transcatheter arterial embolization of the renal artery using anhydrous ethanol was conducted for renal ablation. No postoperative complications were noted, and the symptoms of urinary incontinence were eliminated. Embolization of the renal artery for ablation of a hypoplastic kidney with symptoms can be achieved without laparotomy while causing little stress and few complications, with an outcome comparable to surgical nephrectomy. This procedure is expected to be adopted as a standard therapeutic modality in the future.