The ectopic ureter may go completely undiagnosed unless symptoms of ureteral obstruction or infection manifest. If the ureter drains into the seminal tract, symptoms such as prostatitis, epididymitis, pelvic pain, bloody or painful ejaculation may develop at the onset of sexual activity. In females, the opening can occur anywhere within the uterus, cervix, or vagina, and dribbling can be present. Diagnosis is usually made after toilet training is complete. Ultrasound does not completely identify the problem.
Treatment involves resection of the ureter with reanastomosis into the bladder for continence.
Prognosis for the ectopic ureter in the duplicated system is generally good. Partial nephrectomy and pyelostomy with distal ureterectomy are also treatment options for this condition.