Congenital ectopic ureters should be considered a differential diagnosis in animals with hydronephro-sis even if there is no urinary incontinence. Bilateral congenital ectopic ureters may be treated by unilateral ureteronephrectomy and ureteroneo-cystostomy of the remaining ureter even if hydronephrosis in the remaining kidney is severe. Clinical outcome following surgical treatment may be good even if severe hydronephrosis is present. A 6-year-old sexually intact male Siberian Husky that weighed 31 kg (68.2 lb) was evaluated at the Veterinary Hospital of the University of Pennsylvania because of inappetence, exercise intolerance, and mild weight loss of 2.5 months' duration. Historically treatment by veterinarians in the dog's home country (Venezuela) had included several courses of different antimicrobials, although treatment was ineffective.
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