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A plain CT of KUB showing the left ureter coursing into the left inguinal canal, descending into the scrotum, and looping back to enter the bladder (arrow).
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A plain CT-KUB showed the left ureter coursing into the left inguinal canal, descending into the scrotum, and looping back to enter the bladder (Fig. 1).
At the level of the internal ring, there was a large tubular structure extensively covered by fat.. I. White arrow showing the extraperitoneal fat surrounding the ureter.. II. Black arrow showing tortuous ureter.
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At the level of the internal ring, there was a large tubular structure extensively covered by fat (Fig. 2), which was dissected slowly by traction and counter-traction utilizing both blunt and sharp dissections, till the apex of the U-shaped sling.
Figure showing tortuous ureter. (arrow).
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The redundant and tortuous ureter made it extremely difficult for stenting and often an alpha loop would form (Fig. 3) akin to a colonoscopy.