Management of Endometriosis Involving the Urinary Tract

Ajao, Mobolaji O.; Einarsson, Jon I.

doi:10.1055/s-0036-1597124

Cited by 6 publications

(8 citation statements)

References 44 publications

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“…9 Because of this possibility, wide excision with at least 1-cm margin is proposed to prevent residual endometriotic tissue. 14 The histopathological examination had confirmed the adenocarcinoma type of malignant transformation in one patient in our population. This woman had undergone hysterectomy due to the presence of multiple myomas.…”

Section: Discussionsupporting

confidence: 51%

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Abdominal wall endometriosis: A monocentric continuous series and review of the literature

Çelik

Karacan

Kaya³

et al. 2019

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: Endometriosis is characterized by the presence of endometrial cells anywhere outside the uterine cavity. Endometriosis has been encountered on surgical scars especially resulting from a cesarean section recently. Our aim was to investigate the patients with abdominal wall endometriosis in our clinics where all the patients having this disease are managed via surgical resection. We also compared them with the patients presented in the literature. Methods: A study was conducted on the patients with histopathological diagnosis of abdominal wall endometriosis as a case series. All the subjects were analyzed through a comprehensive medical assessment including documentation of the detailed history and physical and gynecological examination based on the patients' medical records. Results: A total of 53 patients diagnosed with abdominal wall endometriosis were included in this study. The mean age and the mean body mass index of the patients were 32.6 ± 6.5 years and 25.2 ± 3.5 kg/m 2 , respectively. A total of 49 patients had at least one operation history, mainly cesarean section. The most common sites for abdominal wall endometriosis were skin and the region containing the rectus abdominis muscle and rectus sheath, 56.6% and 18.9% respectively. The main symptom was the pain getting worse during menstruation and the presence of a mass in all patients. The main diagnostic tools in all patients were detailed history and physical examination, ultrasonography, and then histopathological confirmation after surgical excision. Conclusion: Abdominal wall endometriosis is a common diagnosis mainly due to increased cesarean section rate. Clinical suspicion has the most important place in correct diagnosis and management of abdominal wall endometriosis.

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Section: Discussionsupporting

confidence: 51%

“…13 Renal and urethral endometriosis are rarely encountered. 14 Thoracic endometriosis is a rare entity including the presence of ectopic endometrial tissue in the pleura, pericardium, lung parenchyma, and rarely the diaphragm. 3…”

Section: Discussionmentioning

confidence: 99%

Abdominal wall endometriosis: A monocentric continuous series and review of the literature

Çelik

Karacan

Kaya³

et al. 2019

Journal of Endometriosis and Pelvic Pain Disorders

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“…The expression 'urinary tract endometriosis (UTE)' refers to endometriotic implants of the bladder, ureter, kidney, and urethra [4]. The urinary tract is a rare location for endometriosis, and this type occurs in between 1.2 and 6% of cases [1,3], with bladder endometriosis corresponding to ~84% and ureter endometriosis to 15% [9].…”

Section: Introductionmentioning

confidence: 99%

“…Medical treatment in endometriosis, based on hormonal therapy, is more suppressive rather than curative [3,9]. The treatment of urinary tract endometriosis is generally accepted to be surgical, although no consensus has been achieved regarding which surgery to choose according to the location [3,9]. Ureter endometriosis can be managed with different types of surgeries, ranging from ureterolysis to reimplantation.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Urinary Tract Endometriosis—Laparoscopic Treatment: A 10-Year Retrospective Study

Rocha,

Mendes,

Castro

et al. 2023

JCM

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Introduction: Urinary tract endometriosis (UTE), a rare manifestation, encompasses bladder and ureteral involvement. Surgical intervention is commonly recommended for UTE, though the optimal surgical approach remains a subject of debate. This study aims to report our centre’s experience with UTE. Methods: We conducted a retrospective cohort study of 55 patients who underwent surgical treatment for UTE at a single tertiary centre over a 10-year period (2012–2022). Patient data, including demographics, symptoms, intraoperative findings, and complications, were collected from medical records. Data were statistically analysed, and correlations were explored. Results: The study population had a mean age of 37.11 years, with dysmenorrhea (89.1%) being the most common symptom. Bladder endometriosis was present in 27 cases, ureteral endometriosis in 25, and mixed-location in 3. Laparoscopy was the primary surgical approach, with multidisciplinary teams involving urologists. There were six patients with postoperative complications, and there were six (10.9%) recurrences of endometriosis. A positive correlation was found between age and recurrence, but no significant predictors of recurrence were identified in our analysis. Conclusions: Laparoscopic treatment of urinary endometriosis is safe and effective. Multidisciplinary collaboration plays a pivotal role in addressing this challenging condition.

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“…Although, laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms, there is a lack of data concerning the impact of anterior compartment endometriosis on infertility. 9–12 In fact, the association of anterior disease and infertility has never been directly investigated, but data came out mainly from studies conducted for pain assessment.…”

Section: Introductionmentioning

confidence: 99%

Effect of Anterior Compartment Endometriosis Excision on Infertility

Centini

Afors

Alves³

et al. 2018

JSLS

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Background and Objectives:Laparoscopic surgical excision of bladder nodules has been demonstrated to be effective in relieving associated painful symptoms; the data are lacking concerning the impact of anterior compartment endometriosis on infertility. We conducted this study to evaluate whether or not the surgical excision of deep endometriosis affecting the anterior compartment plays a role in restoring fertility.Methods:This multicentre, retrospective study included a group of 55 patients presenting with otherwise-unexplained infertility who had undergone laparoscopic excision of anterior compartment endometriosis with histological confirmation. Patient medical records and operative reports were reviewed. Telephone interviews were conducted for long-term followup of fertility outcomes.Results:The pregnancy rate following surgical excision of endometriotic lesions was 44% (n = 11) among those with anterior compartment involvement alone and 50% (n = 15) in case of posterior lesions association without any significant difference. The symptoms related to bladder endometriosis resolved in the 84.2% of the cases with a recurrence rate of 1.8% at the 2-year followup not requiring further surgery.Conclusion:Laparoscopic excision of anterior compartment endometriosis is effective in restoring fertility in patients with otherwise-unexplained infertility and in treating endometriosis-related symptoms.

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Management of Endometriosis Involving the Urinary Tract

Cited by 6 publications

References 44 publications

Abdominal wall endometriosis: A monocentric continuous series and review of the literature

Abdominal wall endometriosis: A monocentric continuous series and review of the literature

Outcomes of Urinary Tract Endometriosis—Laparoscopic Treatment: A 10-Year Retrospective Study

Effect of Anterior Compartment Endometriosis Excision on Infertility

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