“…The recurrence of symptoms, usually correlated with patients' menstrual cycles, may lead to the adoption of medical approaches, including hormonal therapies such as GnRH agonists and oral contraceptives, while surgical therapeutic strategies, in particular laparoscopic management, should be considered for large renal endometriomas or persistent obstructive uropathy (6,27,28). These surgical procedures should to be performed by a surgical team experienced in general, gynaecological, adrenal and urological laparoscopic surgery also in urgency setting because we well know the possible intraoperative complications of this kind of surgery as bowel, bladder, ureteric and vascular injuries (29)(30)(31)(32)(33)(34)(35).…”