Simultaneous External and Internal Endometriosis of the Ureter

Thomsen, Henrik S.; Schrøder, Henrik Morville

doi:10.3109/00365598709180329

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…Other investigators, noting that 61% of ureteral endometriosis involves the left ureter, have regarded this finding as being supportive of the menstrual reflux theory, with the premise that the sigmoid colon on the left side impairs the spread of retrograde menstrual bleeding [7,13]. It has been proposed that menstrual reflux may account for extrinsic ureteral involvement, whereas intrinsic ureteral endometriosis may result from lymphatic or venous spread [1,14,15]. The small size of our series does not allow further insights into these somewhat controversial theories of pathogenesis.…”

Section: Discussionmentioning

confidence: 94%

Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases

et al. 2008

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Section: Discussionmentioning

confidence: 94%

Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases

et al. 2008

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“…In a retrospective study at Duke university medical center the authors reported 20% prevalence of ureteral dilatation and 10% of ureteral deviation by uterine size 12 weeks or larger. Larger fibroid above pelvic brim causing obstruction had been disputed in a study which showed only significant obstruction in only 9 cases out of 598 patients with fibroid of all sizes Buchsbaum & Schmidt [11]. Ureteral obstruction by extrinsic compression is reported by large pelvic tumour most commonly leiomyoma Thompson [12].…”

Section: Discussionmentioning

confidence: 99%

The Role of Pre-Operative Intravenous Urography in Preventing Urinary Tract Injury for Benign Pelvic Lesion

Saha¹

2017

JGWH

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Due to close anatomical proximity of female urinary and genital tract, the ureter, urinary bladder and urethra are vulnerable for injury during gynaecological surgery. In a comparative observational study we evaluated 89cases having benign and clinically high risk gynaecological conditions requiring surgery, for the incidence of urinary tract involvement and to determine whether pre-operative assessment of urinary tract by IVU diminishes the risk of operative injury. At what circumstances IVU will be justifiable is also evaluated. In our study IVU could detect urinary tract involvement in 41.37% cases preoperatively in selected benign gynaecological condition. In the study group 2 patients sustained intraoperative urinary tract injury whereas 5 cases in control group had the same.It is evident from our study that IVU can detect urinary tract anomaly in large number of patients in comparison to control group; the information available to gynecologist allow him/her to take steps to either prevent or detect ureteric injury during operation.

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“…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.…”

Section: Methodsmentioning

confidence: 99%

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

Goggins

Wong

Lindsey

et al. 2019

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: The purpose of this study was to review operative management of endometriosis involving the ureter. Materials and methods: Retrospective case series of three patients undergoing resection of ureteral endometriosis with ureteroureterostomy for endometriosis involving the ureter by minimally invasive gynecologic surgeons between 2007 and 2018 at a large academic medical center in the Northeastern United States. A literature review was conducted to find cases with a similar approach. Results: Three cases of ureteral endometriosis surgically managed at our institution with ureteroureteral anastomosis were identified. Ureteral endometriosis was identified preoperatively by hydroureteronephrosis on imaging. Intrinsic ureteral endometriosis was confirmed by pathology in two cases; extrinsic endometriosis was grossly visualized in one case. Operative times ranged from 300 to 387 min. Estimated blood loss ranged from 150 to 250 mL. There were no intraoperative complications. A total of 151 cases with a similar approach were described in the literature. Recurrence of obstructive uropathy occurred in 11 cases. Conclusion: Ureteral endometriosis is a rare complication with several management options. Ureterectomy with ureteroureterostomy has been described in the literature and in three cases at our institution with low complication rates and rare stricture formation. This technique can be successful in the management of ureteral endometriosis and warrants further investigation.

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Simultaneous External and Internal Endometriosis of the Ureter

Cited by 5 publications

References 3 publications

Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases

Ureteral endometriosis: clinicopathological and immunohistochemical study of 7 cases

The Role of Pre-Operative Intravenous Urography in Preventing Urinary Tract Injury for Benign Pelvic Lesion

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

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