{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T17:56:17Z","timestamp":1759514177180,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,9,9]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>We report a case of successful endoscopic stone management in a patient with ectopic ureteric insertion. The patient had a complete duplex collecting system, with the upper moiety ureter inserting ectopically into his prostatic urethra, and an obstructing ureteric stone in the distal portion of the ectopic ureter. This made both characterisation of the patient\u2019s anatomy and initial emergency stone management challenging.<\/jats:p>\n               <jats:p>The case offers several learning points for clinicians who may encounter similar situations. By describing the challenges of managing this patient\u2019s presentation, we highlight considerations in imaging interpretation and operative approach that may help the reader manage a similar presentation to their practice. Additionally, we remind the urologist to consider the implications of an ectopic duplex ureter on future procedures, such as transurethral resection of the prostate or radical prostatectomy.<\/jats:p>","DOI":"10.1136\/bcr-2023-254927","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T22:20:25Z","timestamp":1695939625000},"page":"e254927","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Endoscopic stone management in an ectopic ureter inserting into the prostatic urethra"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6348-5445","authenticated-orcid":false,"given":"Bridget","family":"Heijkoop","sequence":"first","affiliation":[{"name":"Urology, Liverpool Hospital, Liverpool, New South Wales, Australia"},{"name":"Urology, Campbelltown Hospital, Campbelltown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Lahoud","sequence":"additional","affiliation":[{"name":"Urology, Campbelltown Hospital, Campbelltown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddy Lee Hao","family":"Wong","sequence":"additional","affiliation":[{"name":"Urology, Liverpool Hospital, Liverpool, New South Wales, Australia"},{"name":"Urology, Campbelltown Hospital, Campbelltown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"key":"2025082722145906000_16.9.e254927.1","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1007\/s00240-012-0486-y","article-title":"Ureteroscopy assisted retrograde Nephrostomy (UARN) for an incomplete double Ureter","volume":"40","author":"Kawahara","year":"2012","journal-title":"Urol Res"},{"key":"2025082722145906000_16.9.e254927.2","first-page":"101038","article-title":"Renal duplication with Ureter duplex not following Meyer-Weigert-rule with development of a Megaureter of the lower Ureteral segment due to distal stenosis - A case report","volume":"28","author":"Darr","year":"2020","journal-title":"Urol Case Rep"},{"key":"2025082722145906000_16.9.e254927.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00431-1"},{"key":"2025082722145906000_16.9.e254927.4","unstructured":"Hinman\u2019s Atlas of Urosurgical anatomy: expert consult online and print, 2E. Saunders. ISBN:1416040897,"},{"key":"2025082722145906000_16.9.e254927.5","doi-asserted-by":"crossref","unstructured":"Abdrabou A , Foster T , El-Feky M , et al . n.d. Ectopic Ureter. Reference Article, RadiopaediaOrg Available: https:\/\/doi.org\/10.53347\/rID-24367","DOI":"10.53347\/rID-24367"},{"key":"2025082722145906000_16.9.e254927.6","doi-asserted-by":"crossref","first-page":"349","DOI":"10.4329\/wjr.v5.i9.349","article-title":"Ectopic insertion of the Ureter into the seminal Vesicle","volume":"5","author":"El-Ghar","year":"2013","journal-title":"WJR"},{"key":"2025082722145906000_16.9.e254927.7","doi-asserted-by":"crossref","first-page":"299","DOI":"10.4111\/icu.2017.58.5.299","article-title":"Epidemiology and economics of Urolithiasis","volume":"58","author":"Ziemba","year":"2017","journal-title":"Investig Clin Urol"},{"key":"2025082722145906000_16.9.e254927.8","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1089\/cren.2019.0108","article-title":"Extravesical ectopic Ureteral Calculus obstruction in a completely duplicated collecting system","volume":"6","author":"Katims","year":"2020","journal-title":"Journal of Endourology Case Reports"},{"key":"2025082722145906000_16.9.e254927.9","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1159\/000321240","article-title":"Delayed detection of injury to an ectopic Ureter of a duplicated collecting system following Laparoscopic radical Prostatectomy for early organ-confined prostate cancer","volume":"86","author":"Ghazi","year":"2011","journal-title":"Urol Int"},{"key":"2025082722145906000_16.9.e254927.10","doi-asserted-by":"crossref","first-page":"e20","DOI":"10.1016\/j.urology.2020.05.033","article-title":"Postoperative management of ectopic Ureter injury after Robotic-assisted radical Prostatectomy: A case report","volume":"143","author":"Petrella","year":"2020","journal-title":"Urology"},{"key":"2025082722145906000_16.9.e254927.11","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000001261","article-title":"Intraoperative management of an incidentally identified ectopic Ureter inserting into the prostate of a patient undergoing radical Prostatectomy for prostate cancer: A case report","volume":"94","author":"Singhal","year":"2015","journal-title":"Medicine (Baltimore)"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-254927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:15:10Z","timestamp":1756358110000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-254927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":11,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,9,28]]},"published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1136\/bcr-2023-254927"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-254927","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}