Bladder Endometriosis: Conservative Management

Westney, O. Lenaine; Amundsen, Cindy L.; McGuire, Edward J.

doi:10.1016/s0022-5347(05)67550-7

Cited by 104 publications

(74 citation statements)

References 12 publications

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“…Westney et al [50 ]reported a partial or complete resolution of symptoms in 12 of their 14 patients at a mean follow-up of 18.6 months. Close follow-up is recommended.…”

Section: Resultsmentioning

confidence: 99%

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Maccagnano¹,

Pellucchi²,

Rocchini³

et al. 2013

Urol Int

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Introduction: The ureteral involvement in deep pelvic endometriosis in usually asymptomatic and might lead to a silent loss of renal function. As a matter of fact, the diagnosis and the treatment modalities are still a matter of debate. Materials and Methods: We performed a literature review by searching the MEDLINE database for articles published in English between 1996 and 2010, using the key words urinary tract endometriosis, ureteral endometriosis, diagnosis and treatment. We found more than 200 cases of ureteral endometriosis (UE). Results: The disease most commonly affects a single distal segment of the ureter, with a left predisposition in most of the patients. Two major pathological types of UE may be distinguished: intrinsic and extrinsic. The symptoms are usually nonspecific and owing to secondary obstruction. The diagnosis has to be considered as a step- by-step procedure, starting from physical examination to highly detailed imaging methods. Nowadays, the treatment is usually chosen according to the type of UE, the site lesion and the distance to the ureteral orifice, with the use of JJ stents remaining a matter of debate. Conclusions: A close collaboration between the gynecologist and the urologist is advisable, especially in referral centers. Surgical treatment can lead to good results in terms of both patient compliance and prognosis.

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“…Westney et al [50 ]reported a partial or complete resolution of symptoms in 12 of their 14 patients at a mean follow-up of 18.6 months. Close follow-up is recommended.…”

Section: Resultsmentioning

confidence: 99%

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Maccagnano¹,

Pellucchi²,

Rocchini³

et al. 2013

Urol Int

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“…Ureteroscopy with lithotripsy represents one of the main causes; ureteral strictures in fact occur as a late complication in 0-4 % of cases [2]. Endometriosis rarely involves the upper urinary tract, (1-2 % of all cases of stenosis), 84 % of which are associated with concomitant bladder involvement [3,4]. The incidence of iatrogenic ureteral injury ranges between 0.1 % and 2.5 % of all the surgical procedures [5,6]; during recent years, an increasing incidence of iatrogenic strictures has been observed, due to the widespread diffusion of abdominal and gynaecological laparoscopic surgery and upper urinary tract endoscopy [7].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic and robotic ureteral stenosis repair: a multi-institutional experience with a long-term follow-up

et al. 2016

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The treatment of ureteral strictures represents a challenge due to the variability of aetiology, site and extension of the stricture; it ranges from an end-to-end anastomosis or reimplantation into the bladder with a Boari flap or Psoas Hitch. Traditionally, these procedures have been done using an open access, but minimally invasive approaches have gained acceptance. The aim of this study is to evaluate the safety and feasibility and perioperative results of minimally invasive surgery for the treatment of ureteral stenosis with a long-term follow-up. Data of 62 laparoscopic (n = 36) and robotic (n = 26) treatments for ureteral stenosis in 9 Italian centers were reviewed. Patients were followed according to the referring center's protocol. Laparoscopic and robotic approaches were compared. All the procedures were completed successfully without open conversion. Average estimated blood loss in the two groups was 91.2 ± 71.9 cc for the laparoscopic and 47.2 ± 32.3 cc for the robotic, respectively (p = 0.004). Mean days of hospitalization were 5.9 ± 2.4 for the laparoscopic group and 7.6 ± 3.4 for the robotic group (p = 0.006).No differences were found in terms of operative time and post-operative complications. After a median followup of 27 months, the robotic group yielded 2 stenosis recurrence, instead the laparoscopic group shows no cases of recurrence (p = 0.091). Minimally invasive approach for ureteral stenosis is safe and feasible. Both robotic and pure laparoscopic approaches may offer good results in terms of perioperative outcomes, low incidence of complications and recurrence.

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“…Involvement of genitourinary tract with one of the non-neoplastic mullerian lesions includes: endocervicosis, endometriosis or endosalpingiosis occurs in 1 to 2% of cases, most of which are endometriosis (2). Conversely, endocervicosis is considered a rare condition, which was first described as a distinct concept, by Clement and Young in 1992, as a benign variation of endometriosis (8).…”

Section: Discussionmentioning

confidence: 99%

“…About 10 to 15 % of women in their reproductive age are affected by this condition (1). This disorder is more prevalent among 25-to 45-year-old people /women, with its peak incidence between 30 and 40 years of age (2). Among those with endometriosis, 1 % have urinary tract lesions, in 84% of which the bladder is involved (3).…”

Section: Introductionmentioning

confidence: 99%

Endometriosis: A Rare Cause of Gross Hematuria

et al. 2018

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Introduction: Endometriosis is a condition in which endometrial tissue exists outside the uterine cavity. Urinary tract lesions are present in 1 % of women with this condition. Case Presentation: A 34-year-old woman was presented to our clinic with a 3-year history of dysuria and frequency. Her past medical history was significant for cesarean sections, performed 3 years earlier. In our center, the patient underwent cystoscopy and transurethral resection of a lesion found in the bladder wall, which on histopathology examination appeared to be endometriosis. A course of six-month hormonal therapy with luteinizing hormone-releasing hormone (LHRH)-agonist (Dipherelin™ 3.75 IM per 28 day) was planned for her. One month later, trans-vaginal ultrasound revealed a nodule posterior to the bladder, which had grown 1 cm in the preceding month. Therefore, Hysterectomy, bilateral oophorectomy, and partial cystectomy were performed. The pathology report was Mullerianosis. During two years of follow up, the patient remained asymptomatic. Conclusions: Endometriosis and endocervicosis should be regarded as important differential diagnoses in patients with gross hematuria and those suspected to have urothelial carcinomas.

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Bladder Endometriosis: Conservative Management

Cited by 104 publications

References 12 publications

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Laparoscopic and robotic ureteral stenosis repair: a multi-institutional experience with a long-term follow-up

Endometriosis: A Rare Cause of Gross Hematuria

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