50yo F, severe left pelvic pain, dysuria.
CT: double lumen of left distal ureter.
URS: ureter with bifurcation 2 cm proximal to UVJ; medial ureter with cul-de-sac.
My thought: pain from reflux into cul-de-sac
Plan: excision of medial ureter remnant + ureter reimplant
Any advice?