Laparoscopic Treatment of Intrinsic Endometriosis of the Urinary Tract and Proposal of a Treatment Scheme for Ureteral Endometriosis

Lusuardi, Lukas; Hager, Martina; Sieberer, Manuela; Schätz, Tobias; Kloss, Birgitt; Hruby, Stephan; Jeschke, Stephan; Janetschek, Günter

doi:10.1016/j.urology.2012.07.036

Cited by 27 publications

(22 citation statements)

References 19 publications

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“…The pathogenesis of ureteral endometriosis or even endometriosis itself is still unclear. The most common explanation is the menstrual reflux theory of anatomical differences in the left and right hemi‐pelvis . However, side distribution of ureteral involvement was not statistically significant in our sample .…”

Section: Discussioncontrasting

confidence: 68%

“…If after ureterolysis the affected segment still looked stenotic and the lesion involving the ureteral wall was proximal to the insertion of the bladder, ureteroneocystostomy was indicated. Ureterovesical reimplantation was performed according to the extravesical Lich‐Gregoir anastomosis technique . Postoperative hormone therapy was offered to those patients who did not wish to conceive and to prevent recurrence.…”

Section: Methodsmentioning

confidence: 99%

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Management of ureteral endometriosis with hydronephrosis: Experience from a tertiary medical center

Huang

Guo

et al. 2017

J of Obstet and Gynaecol

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Hydronephrosis may be caused by uncommon reasons, such as ureteral endometriosis, which can even cause silent loss of renal function. Routine ultrasound scanning of the upper urinary tract for severe stages of endometriosis is very important in order to detect any potential ureteral lesions. Ureterolysis should be considered as the first surgical step, not only to avoid iatrogenic ureteral injuries but also to better evaluate ureter involvement for further procedures. To warrant tension-free and lesion-free anastomosis, it is wise to perform ureteroneocystostomy for long-term sound results.

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Section: Discussioncontrasting

confidence: 68%

Section: Methodsmentioning

confidence: 99%

Management of ureteral endometriosis with hydronephrosis: Experience from a tertiary medical center

Huang

Guo

et al. 2017

J of Obstet and Gynaecol

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“…Addition of fat-suppressed sequences and susceptibility weighted imaging sequences facilitated the detection of even small endometriotic foci [7]. In patients with suspected UE, intravenous urography and ureteroscopy with endoluminal ultrasound are performed to rule out other causes of ureteral obstruction [8].…”

Section: Discussionmentioning

confidence: 99%

Ureteral endometriosis: A rare cause of silent obstructive uropathy

Yoldemir¹,

Çimşit²

2016

MMJ

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Endometriosis is defined as the presence of active endometrial tissue outside the uterine cavity affecting 15% of women at reproductive age. Ureteral endometriosis (UE) is a rare type of endometrial involvement affecting 0.1% -1% of women with endometriosis. UE is quite uncommon and underdiagnosed because of the patients' nonspecific symptoms of endometriosis. However, it is important to diagnose and manage UE treatment since it can lead to renal failure due to silent obstruction of the ureter. This case report describes a woman who presented with cyclic pelvic pain and left flank pain. Imaging studies and laparoscopic findings revealed bilateral endometrioma and deep infiltrating endometriosis (DIE) findings resulting in extrinsic infiltration of the ureter and hydronephrosis.Keywords: Endometriosis, Ureter, Hydronephrosis, Magnetic resonance imaging, Laparoscopy ÖZ Doğurganlık dönemindeki kadınların %15 oranında etkilendiği endometriozis, fonksiyonel endometrial dokunun uterus kavitesi dışında yerleşmesiyle karakterize bir hastalıktır. Üreteral endometriozis nadir görülen bir tutulum şekli olup endometriozis hastalarında yaklaşık %0.1-%1 oranında görülür. Hastaların endometriozise bağlı nonspesifik şikayetleri nedeniyle tanıda gözden kaçabilir. Tanısının konularak tedavi planlaması son derece önem gerektirir, çünkü sessiz üriner obstrüksiyona neden olduğundan gecikme böbrek yetmezliği ile sonlanabilir. Çalışmamızda, siklik pelvik ağrı ve sol yan ağrısı nedeniyle başvuran kadın hastada bilateral endometrioma ve derin infiltran endometriozis bulguları sonucunda ureterde ekstrensek tip endometrial infiltrasyon ve hidronefrozun görüntüleme yöntemleri ile tespit edilmesi ve laparoskopi bulguları literatür eşliğinde sunulmaktadır.

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“…9 Surgical treatment is feasible and safe. 10,11 Ureter endometriosis can be treated either by ureterolysis, segmental ureterectomy with endto-end anastomosis or ureteroneocystostomy. The surgical strategy published by Wattiez et al, 12 starts with retroperitoneal inspection of ureters.…”

Section: Introductionmentioning

confidence: 99%