DIFFICULT URETHRAL CATHETERIZATION DUE TO ECTOPIC URETER - AN UNUSUALPRESENTATION OF URETERAL ECTOPIA IN A MAN

We report the unusual presentation of an ectopic ureter in a man with a solitary kidney. The presenting symptom was the inability to place a Foley catheter into the bladder because of preferential passage into the ectopic ureteral opening in the prostatic urethra. Flexible cystos copy was helpful in diagnosis and management of the problem. The diffe rential diagnosis of a difficult urethral catheterization should inclu de occult congenital genitourinary anomalies.