Urinary incontinence in a young girl due to ectopic ureter: the importance of history in a diagnostic challenge.

In girls who are otherwise well and whose history is that of continuous wetting day and night, despite successful toilet training, for a lifelong history, an extravesical infrasphincteric ectopic ureteral orifice should be strongly suspected and imaging should be vigorously pursued. Here, delayed diagnosis of vaginal ectopic ureter in a young girl with a lifelong history of urinary incontinence is presented. The importance of history and imaging procedures are also discussed.