Laparoscopic management of ureteral endometriosis: Our experience

Frenna, Virginia; Santos, Leonor Maria Pacheco; Ohana, Ehud; Bailey, Charles; Wattiez, Arnaud

doi:10.1016/j.jmig.2006.09.009

Cited by 82 publications

(76 citation statements)

References 9 publications

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“…Ureteral resection and ureteroneocystostomy with vesicopsoas is a surgical procedure usually performed via laparotomy (32). Recent studies have reported that this technique provides positive long-term results; in addition, it is associated with minimal complications and a high success rate for the treatment of lower ureteral disease (33).…”

Section: Discussionmentioning

confidence: 99%

“…Some studies support the use of ureterolysis for extrinsic endometriosis as a safe and effective technique even when moderate or severe hydroureteronephrosis is present (20,32). Others maintain that a ureteral resection should be performed in all cases of hydroureteronephrosis.…”

Section: Discussionmentioning

confidence: 99%

“…Others maintain that a ureteral resection should be performed in all cases of hydroureteronephrosis. In cases of intrinsic endometriosis it is generally accepted that a ureteral resection is mandatory, along with primary ureteroureterostomy or ureteral reimplantation with or without a vesicopsoas hitch (10,32,34). It is important to achieve sufficient ureteral mobilization to obtain a tension-free anastomosis, and a vesicopsoas hitch procedure may be needed.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to achieve sufficient ureteral mobilization to obtain a tension-free anastomosis, and a vesicopsoas hitch procedure may be needed. Ureteral resection is usually performed via a laparotomic approach (32).…”

Section: Discussionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative ureteral endometriosis

Azioni

Bracale²,

Scala

et al. 2010

Minimally Invasive Therapy & Allied Technologies

View full text Add to dashboard Cite

show abstract

“…5,6 Ureteral endometriosis can be intrinsic or extrinsic to the ureteral wall. 7,8 Extrinsic type is considered the most common. 9 Surgical treatment is feasible and safe.…”

Section: Introductionmentioning

confidence: 99%