Is It Possible to Have an Extra Ureter? Rare Urological Conditions

Is it possible to have an accessory ureter?

I once read a case in the newspaper about someone who had an extra ureter, which caused them to have a persistent urine odor.
Despite seeking medical help, they couldn't find a solution until a doctor diagnosed the issue and closed off the extra ureter, which resolved their problem.
I might have a similar issue, as I still have a strong urine smell even after taking a shower.
I mentioned this case to my doctor and expressed my desire to undergo some tests to check if I have an extra ureter, but everyone just said I was overthinking it.
I can no longer find that newspaper report and don't know what to do.
I really did see such a report, but no one believes me.
What can I do to resolve this concern?

Huǒxī, 20~29 year old female. Ask Date: 2010/12/22

Dr. Zhang Chengye reply Urology

It is recommended to refer to the urology outpatient clinic for further examination to determine the underlying cause.

Reply Date: 2010/12/22

More Info

The concern you have regarding the possibility of having an extra ureter is indeed a valid one, especially considering the impact it can have on your quality of life. While it is a rare condition, it is medically recognized and can lead to various symptoms, including unusual odors, as you have described.
An extra ureter, known as a "supernumerary ureter," can occur when there is an abnormal development during fetal growth. This condition is characterized by the presence of an additional ureter that may not function properly, potentially leading to urinary retention, infections, or even incontinence. In some cases, individuals may not experience any symptoms, while others may have significant issues, including the odor you mentioned.

If you suspect that you might have a supernumerary ureter, it is important to pursue further medical evaluation. Here are some steps you can take:
1. Consult a Urologist: A specialist in urology will have the expertise to evaluate your symptoms more thoroughly. They can provide a comprehensive assessment and discuss your concerns in detail.

2. Imaging Studies: To confirm the presence of an extra ureter, imaging studies such as an ultrasound, CT scan, or MRI can be very helpful. These tests can visualize the urinary tract and identify any abnormalities, including additional ureters.

3. Urinary Tract Evaluation: A urodynamic study may also be beneficial. This test assesses how well your bladder and urethra store and release urine, which can provide insights into any underlying issues.

4. Urine Tests: Regular urine tests can help identify any infections or abnormalities in your urine that might be contributing to the odor.
5. Keep a Symptom Diary: Documenting when you notice the odor, any associated symptoms, and any changes in your urinary habits can provide valuable information to your healthcare provider.

6. Seek a Second Opinion: If you feel that your concerns are not being taken seriously, it may be beneficial to seek a second opinion from another healthcare provider. Sometimes, a fresh perspective can lead to a more thorough investigation.

7. Educate Yourself: Understanding the condition can empower you to advocate for yourself better. Researching reputable medical sources about supernumerary ureters and their symptoms can help you articulate your concerns more effectively to your healthcare provider.

In conclusion, while the presence of an extra ureter is rare, it is a recognized medical condition that can lead to significant symptoms. If you are experiencing persistent issues, it is essential to pursue further evaluation and not dismiss your concerns. By taking proactive steps and seeking specialized care, you can work towards finding a solution to your problem and improving your quality of life.

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