Dr. Shafiq Ahmed

Urology Specialist

Dr. Shafiq Ahmed

Urology Specialist

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Contact Information

Pusa Rd, Radha Soami Satsang,
Rajinder Nagar, New Delhi,
Delhi – 110005

+91 92052 66954 drshafiqahmed@gmail.com
Urology Care

Duplex Kidney Treatment in Delhi & Gurgaon

Understanding Duplicated Ureters and Their Impact on Urinary Health

Duplex Kidney Anatomy Diagram

Illustration showing normal vs. duplex kidney anatomy

What is a duplex kidney?

Duplex kidney is a condition you're born with (congenital) where you have two ureters (tubes) — instead of one — that connect one of your kidneys to your bladder.

It happens early in development, while your kidneys and ureters are forming. Duplex kidney is also called duplicated ureters or duplicated collecting system.

How it works: Ureters are tubes that drain pee (urine) from your kidneys to your bladder. Normally, one ureter leads separately from each of your two kidneys to your bladder. In duplicated collecting systems, two ureters — one in the upper part and one in the lower part — drain a single kidney.

Types of duplex kidney

Kidney duplication may affect one or both kidneys (bilateral duplex kidneys). It can also be complete or incomplete.

Complete Duplex Kidney

Two separate ureters lead away from the same kidney and enter your bladder separately.

Incomplete Duplex Kidney

Two separate ureters lead away from the same kidney but join together before draining into your bladder. This forms a single ureter when it enters your bladder.

Symptoms and Causes

What are the symptoms of duplex kidney (duplicated ureters)?

For most people, duplex kidneys don't cause symptoms. Symptoms happen when the ureters don't drain normally into your bladder (more common with complete duplex kidneys).

Symptoms of duplex kidney complications include:

  • Urinary tract infections (UTIs)
  • Kidney infections (UTI with fever)
  • Leaking pee (urinary incontinence) even after potty training

What causes duplex kidneys?

When a fetus is developing, cell division errors can cause a duplex kidney. There's no evidence that anything you do or don't do during pregnancy causes duplex kidneys.

Is duplex kidney inherited?

Yes, sometimes duplex kidney can be inherited (if a parent has it, their child might have it, as well). If one parent has a duplex kidney, any biological children have a 50% chance of being born with it. But kids can have a duplex kidney even if neither of their parents has the condition.

What are the complications of duplex kidneys?

Duplex kidneys usually cause symptoms only when you have other, related differences in the way your urinary system develops. These differences can lead to blockage of the flow of pee (causing it to build up), swelling (hydronephrosis) and/or pee flowing backwards toward your kidneys (reflux). Any of these conditions can lead to repeated UTIs.

Conditions associated with duplex kidney include:

  • Ureterocele
  • Ectopic ureter
  • Vesicoureteral reflux
  • Hydronephrosis

Diagnosis and Tests

What tests will be done to diagnose this condition?

Your provider might perform the following imaging tests to diagnose a duplex kidney:

Ultrasound

Of your kidneys and bladder

CT Scan

Computed tomography scan

MRI

Magnetic resonance imaging

Retrograde Pyelogram

Specialized X-ray test

Management and Treatment

How is duplex kidney treated?

Most people don't need treatment for a duplex kidney
Treatment only needed if causing symptoms or complications
If you have an ectopic ureter or another issue that's causing symptoms, you might need surgery on your kidneys, bladder or ureters

Key Takeaways

Nature & Types
  • • Congenital condition present at birth
  • • Two ureters instead of one from kidney
  • • Can be complete or incomplete
  • • Often inherited (50% chance if parent has it)
Management & Outlook
  • • Usually asymptomatic, no treatment needed
  • • May cause UTIs, incontinence if complications
  • • Diagnosed via ultrasound, CT, MRI, pyelogram
  • • Surgery only for symptomatic cases