Solitary renal unit with ectopic ureter with bladder agenesis is a rare congenital anomaly. Urinary incontinence in such cases is dealt with various continent and noncontinent procedures. We report a case of 20-year-old female patient who presented with continuous leakage of urine. Examination and investigations revealed an absence of right kidney, bladder agenesis, ectopic ureter opening into the vestibule, and multiple bony abnormalities. She was managed effectively by laparoscopic Mainz II with serous lined extramural ureteral reimplantation technique.
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