Retroperitoneal endometriosis causing cyclical ureteral obstruction

Treatment of urinary tract endometriosis

“…25,32 In several cases, cyclic nonspecific flank pain associated with hematuria and ureteral obstruction has been reported. [33][34][35][36][37][38] Cyclic hematuria is a hallmark of intrinsic ureteral disease; however this symptom is often absent. More commonly, ureteral endometriosis presents with atypical symptomatology such as vague flank and abdominal pain, intermittent ureteral obstruction, or unexplained hypertension.…”

“…More commonly, ureteral endometriosis presents with atypical symptomatology such as vague flank and abdominal pain, intermittent ureteral obstruction, or unexplained hypertension. 35,39 Unfortunately, ureteral endometriosis is often asymptomatic leading to silent obstructive uropathy and renal failure. 36 Nephrectomy is performed in 25% to 50% of cases when the patient is assumed to have a malignancy or an obstructive uropathy, with the diagnosis of endometriosis confirmed only after pathologic evaluation of the specimen ( Table 2).…”

Ureteroureteral anastomosis for endometriosis involving the ureter: Case series and literature review

“…The following information is based on the authors’ best interpretation of the data on ureteral outcomes. A total of 151 cases of end-to-end anastomosis for ureteral endometriosis were identified in the literature; 5–8,14–45 demographics and surgical data are summarized in Table 1. In total, 75 cases were performed by laparoscopy, 18 by laparotomy, 1 by robot-assisted laparoscopy, and in 57 cases, the route was not specified.…”

Ureteral Endometriosis with Obstructive Uropathy

“…The distal segment of the ureter is the most involved location, which is supposedly due to the close anatomical proximity of the distal ureter to the woman reproductive organs (11,15) (17). Dyspareunia, dysmenorrhea, pelvic pain, and menorrhagia, which are usually seen in pelvic endometriosis, could also prompt a physician to suspect ureteral involvement (11).…”