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Occult ectopic ureter in girls with urinary incontinence: diagnosis by using CT.

Girls with no other signs or symptoms but continuous dribbling of urine, despite successful toilet training, should be considered to have a ureter with an extravesical, infrasphinctenic orifice. Usually, the ureter with an ectopic orifice drains the upper moiety of a double collecting system. Excretory urography is the imaging method of choice for confirmation, and it is usually diagnostic of both the condition and the affected side or sides. The two girls reported here had a provocative history but had normal findings on excretory urograms. Enhanced CT was then used to show the suspected poorly functioning upper moiety in each. Subsequent surgery resulted in complete relief of dribbling of urine.