Endometriosis of ureter

Stillwell, Thomas J.; Kramer, Stephen A.; Lee, Raymond A.

doi:10.1016/0090-4295(86)90092-0

Cited by 87 publications

(61 citation statements)

References 20 publications

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“…However, the diagnosis of ureteral endometriosis is often made incidentally during laparoscopy. Although medical treatment can reduce symptoms it is often unsatisfactory and results in side effects and a high recurrence rate (21)(22)(23). Research has shown that surgical treatment of DIE is recommended for symptomatic disease resulting in compromised quality of life.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative ureteral endometriosis

Azioni

Bracale²,

Scala

et al. 2010

Minimally Invasive Therapy & Allied Technologies

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The aim of the study was to assess the safety and efficacy of laparoscopic treatment of distal infiltrative ureteral endometriosis with segmental ureteral resection, ureteroneocystostomy, and vesicopsoas hitch. We performed a retrospective analysis of perioperative data and looked at follow-up outcomes of patients with deep endometriosis with ureteral involvement treated by laparoscopic vesicopsoas hitch. Six patients were treated for left ureteral endometriosis in the study period. Four of those were diagnosed during previous laparoscopies. A ureteroneocystostomy (Lich-Gregoir reimplantation procedure) with vesicopsoas hitch was fashioned laparoscopically in all cases, and a double-J stent was applied intraoperatively. There were no intraoperative or postoperative complications and no cases of extravasation of contrast at cystogram one week after surgery. The median follow-up time was 38 months (range 12-56). All patients had normal renal ultrasound or intravenous pyelogram results at one year follow-up. This study confirmed that laparoscopic ureteroneocystostomy and vesicopsoas hitch is a safe and effective option in the management of distal ureteral endometriosis. In view of the small size of this series, multicenter studies are needed to confirm these conclusions.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative ureteral endometriosis

Azioni

Bracale²,

Scala

et al. 2010

Minimally Invasive Therapy & Allied Technologies

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“…A first hypothesis was that pelvic endometriosis might be a direct extension of endometrial cells outside the uterine wall favored by previous pelvic surgery [13]. This interpretation was supported by the fact that the diagnosis of ureteral endometriosis is preceded in most cases by hysterectomy and bilateral salpingo-oophorectomy, possibly because of prior symptoms related to adenomyosis or pelvic endometriosis, and that ureteral endometriosis has a strong predilection for involvement of the lower third of the left ureter.…”

Section: Pathogenesismentioning

confidence: 75%

Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction

Ponticelli¹,

Graziani²,

Montanari³

2009

Nephron Clin Pract

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Little attention has been paid by the renal literature to ureteral endometriosis, a rare and silent disorder that can eventually lead to renal failure. In endometriosis, the ureteral involvement can be limited to a single ureter, more often the left one, or both ureters with consequent urine tract obstruction and ureterohydronephrosis. In most cases, the ureteral obstruction is caused by endometrial tissue surrounding the ureter (extrinsic ureteral endometriosis). In the remaining cases, endometrial cells are located within the ureter (intrinsic ureteral endometriosis). Progressive ureteral obstruction can be insidious in onset and can ultimately lead to renal failure if a correct diagnosis is missed. The true incidence of renal failure caused by endometriosis is completely unknown, although cases have been reported in the literature. The diagnosis of ureteral endometriosis is difficult since the disease may be clinically silent or associated with non-specific symptoms. Only a high index of suspicion and radiological support may help to obtain an early diagnosis. However, while renal imaging is useful in the cases of extrinsic endometriosis, the diagnosis of intrinsic endometriosis often requires ureteroscopy or laparoscopy. The prognosis of ureteral endometriosis depends on the time of diagnosis. In too many cases of bilateral obstruction, the patient is referred to the nephrologist because of an advanced, irreversible renal failure. Although some patients may benefit from progestin or anti-arotamase therapy, in most cases of ureteral endometriosis surgery is needed, laparoscopy surgery being preferred today to laparatomy.

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“…Therefore, some studies recommend an upper urinary tract evaluation for all patients diagnosed with pelvic endometriosis to exclude any obstructive process. 17,2 …”

Section: A B C Dmentioning

confidence: 99%

Obstructive uropathy associated with primary ureteral endometrioma: case report and review of the literature

Feifer

El-Din

Ömeroğlu

et al. 2013

CUAJ

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We report the case of a 56-year-old postmenopausal woman who presented with incidental left hydronephrosis during an investigation for a gastrointestinal complaint. The patient denied any history of flank pain or hematuria. Contrast-enhanced computed tomography revealed severe right-sided ureterohydronephrosis as well as renal atrophy. The contralateral kidney was normal, as was the patient's overall renal function. A retrograde ureterogram demonstrated complete ureteral obstruction 4 cm proximal to the ureterovesical junction. Subsequent ureteroscopy revealed a polypoid mass completely occupying the ureteral lumen, of which the biopsies demonstrated inconclusive atypical urothelial changes. The patient underwent a laparoscopic nephrectomy with open dissection of the distal ureter. The patient recovered well postoperatively. Final pathology revealed a benign obstructing endometrioma without evidence of invasion from periureteral tissue. This appears to be the first reported case of asymptomatic primary ureteral endometrioma with secondary renal atrophy. Earlier investigation and treatment may have allowed for renal preservation earlier in the course of the disease.

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Endometriosis of ureter

Cited by 87 publications

References 20 publications

Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative ureteral endometriosis

Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative ureteral endometriosis

Ureteral Endometriosis: A Rare and Underdiagnosed Cause of Kidney Dysfunction

Obstructive uropathy associated with primary ureteral endometrioma: case report and review of the literature

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