Urinary Tract Endometriosis: A Multidisciplinary Fight Against a Silent Enemy

Barbanti, Chiara; Labanca, Luca; Gentile, Filippo; Chini, T.; Centini, Gabriele; Habib, Nassir; Zupi, Errico; Lazzeri, Lucia

doi:10.1016/j.jmig.2022.02.010

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Furthermore, urinary tract structures, particularly the ureter or bladder, can be involved and represent the second most common site for deep‐infiltrating endometriosis 1 . In cases involving the urinary tract, bladder involvement occurs in 70%–85% of cases, and ureteral involvement is reported in 9%–23% of cases 2 . Such involvement can lead to severe scarring and distortion of normal pelvic anatomy, increasing the surgical risk of inadvertent organ injury.…”

Section: Introductionmentioning

confidence: 99%

Exploring the feasibility of indocyanine green fluorescence for intraoperative ureteral visualisation in robotic transvaginal natural orifice transluminal endoscopy surgery during endometriosis resection

Delgadillo Chabolla,

Alpuing Radilla,

Koythong

et al. 2024

Robotics Computer Surgery

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BackgroundTo assess the feasibility of use of indocyanine green (ICG) in identifying and minimising urinary tract injury during surgical resection of endometriosis through robotic transvaginal natural orifice transluminal endoscopy surgery (RvNOTES).MethodsWe conducted a retrospective case series in two academic tertiary care hospitals. We examined 53 patients who underwent RvNOTES hysterectomy with planned endometriosis resection.ResultsThe study involved 53 patients undergoing RvNOTES with ICG fluorescence for endometriosis resection. Mean patient age was 37.98 ± 6.65 years. Operative time averaged 181.32 ± 53.94 min, with estimated blood loss at 45.57 ± 33.62 mL. Postoperative stay averaged 0.23 ± 0.47 days. No ICG‐related complications occurred.ConclusionNo complications occurred with ICG fluorescence in RvNOTES. It appears to be a safe option for ureteral localisation and preservation. ICG fluorescence is widely used in diverse medical specialities for identifying ureters during complex surgeries. Larger studies are needed to firmly establish its advantages in intraoperative ureteral visualisation during RvNOTES for deep infiltrative endometriosis.

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Section: Introductionmentioning

confidence: 99%