{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:39:56Z","timestamp":1789673996366,"version":"4.0.1"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,1,16]]},"abstract":"<jats:p>A duplex kidney system with an ectopic ureter draining into the vagina is a congenital malformation that typically presents as refractory urinary incontinence. Diagnosis is often difficult to establish and delayed due to a low incidence. We present the case of a patient aged 26 years with a life-long history of persistent urinary incontinence. Initial presentation was at childhood; however, the diagnosis went undetermined for 22\u2005years. CT urography revealed a duplex kidney with an atrophic upper pole associated with an ectopic ureter that drained into the vaginal vault. This is the first description of such a case being managed successfully via a robot-assisted partial nephrectomy approach. Ectopic ureteral duplication should be considered in the differential diagnosis for young women with refractory urinary incontinence. Robotic partial nephrectomy is a safe and effective technique to manage such cases.<\/jats:p>","DOI":"10.1136\/bcr-2016-218576","type":"journal-article","created":{"date-parts":[[2017,2,6]],"date-time":"2017-02-06T15:55:24Z","timestamp":1486396524000},"page":"bcr2016218576","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Robotic partial nephrectomy for duplex kidney with ectopic ureter draining in the vagina in an adult patient with urinary incontinence"],"prefix":"10.1136","volume":"2017","author":[{"given":"Humza","family":"Mahmood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marios","family":"Hadjipavlou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,2,6]]},"reference":[{"key":"2025042705195664000_2017.feb06_1.bcr2016218576.1","first-page":"2074","article-title":"Laparoscopic upper pole heminephrectomy in adults for treatment of duplex kidneys","volume":"12","author":"D\u00f6nmez","year":"2015","journal-title":"Urol J"},{"key":"2025042705195664000_2017.feb06_1.bcr2016218576.2","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.1007\/s11255-014-0702-5","article-title":"Rare cause of adult female incontinence: complete duplication of the collecting system and ectopic ureter of the kidney draining into the vagina treated by laparoscopic upper pole heminephrectomy and ureterectomy","volume":"46","author":"Alkan","year":"2014","journal-title":"Int Urol Nephrol"},{"key":"2025042705195664000_2017.feb06_1.bcr2016218576.3","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5152\/tud.2014.81567","article-title":"A case of an ectopic ureter with vaginal insertion diagnosed in adulthood","volume":"41","author":"Demir","year":"2015","journal-title":"Turk J Urol"},{"key":"2025042705195664000_2017.feb06_1.bcr2016218576.4","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1089\/0892779041271508","article-title":"Laparoscopic nephroureterectomy for adult incontinence caused by functioning ectopic pelvic kidney draining into vagina","volume":"18","author":"Challacombe","year":"2004","journal-title":"J Endourol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218576","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:20:04Z","timestamp":1745756404000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,6]]},"references-count":4,"alternative-id":["10.1136\/bcr-2016-218576"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218576","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,6]]}}}