Patient: Female, 25Final Diagnosis: Unusual clinical courseSymptoms: Flank pain • nocturia • urinary frequency • urinary incontinenceMedication: —Clinical Procedure: —Specialty: UrologyObjective:Unusual clinical courseBackground:Endometriosis is a chronic and benign condition in which endometrial glands and stroma are present outside the uterine cavity. The pathogenesis of endometriosis is not fully understood; however, several mechanisms have been hypothesized. Endometriosis is a common clinical presentation in gynecology, but affecting the urinary tract is a rare phenomenon, occurring in 0.3–12% of cases. In more severe forms, the initial presentation may be hydronephrosis or infertility.Case Report:We describe the case of a 25-year-old Saudi woman who presented with obstructive urinary tract symptoms and was diagnosed with urinary bladder endometriosis complicated with a right hydronephrosis. After thorough investigations and workups, the management was taken on by a multidisciplinary team approach.Conclusions:This case report shows that hormonal therapy management resulted in a satisfactory outcome contrary to the surgical resection approach that is discussed in many articles.
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