Laparoscopic Management of Ureteral Endometriosis: The Stanford University Hospital Experience With 96 Consecutive Cases

Bosev, Dorian; Nicoll, Linda M.; Bhagan, Lisa; Lemyre, Madeleine; Payne, Christopher K.; Gill, Harcharan; Nezhat, Camran

doi:10.1016/j.juro.2009.08.019

Cited by 70 publications

(59 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A similar rate has been reported in previous studies, in which many concomitant procedures have also been performed [5, 6, 34] but there are also reports where all or almost all urinary tract operations have been performed laparoscopically [3, 7, 10, 32, 37, 38]. All our isolated bladder resections and associated ureteral shavings were done laparoscopically as in many other series [10, 35, 39, 40] but with increasing amount of concomitant procedures also the proportion of laparotomies increased.…”

Section: Discussionsupporting

confidence: 83%

“…Nine out of 10 patients suffered from dysmenorrhea and more than half suffered from symptoms suggestive of UTE. As in other studies [7, 10, 31–35], almost half of our patients had a history of previous endometriosis surgery. This might indicate that the delay in reaching the correct diagnosis and getting to the referral center is long.…”

Section: Discussionsupporting

confidence: 53%

“…The risk of ureteral endometriosis increases if a rectovaginal nodule is larger than 3 cm [3–5]. Thus, urinary tract ultrasonography, urography, or magnetic resonance imaging (MRI) is recommended when planning surgery for DIE [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

et al. 2016

View full text Add to dashboard Cite

Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004–2013 at Helsinki University Hospital, and were followed-up until the end of 2014. The data were gathered from the hospital’s electronic database. The main outcome measures were complications, reoperations, postoperative pregnancies, and deliveries. Preoperative diagnosis was accurate in 72 % with bladder endometriosis and in 93 % with ureteral disease. Thirty-one (58 %) of the 53 operations were performed via laparoscopy. Postoperative complications requiring re-intervention occurred in five cases (9 %). Five reoperations were performed in four cases due to endometriosis recurrence, only two due to recurrence of UTE (4 %). Twenty-eight women wished for pregnancy; 18 (64 %) of them conceived. Infertility treatment was needed in 20 (71 %) cases. Twelve (75 %) women delivered via cesarean section; intraoperative difficulties occurred in ten (83 %). The complication rate with UTE operations is acceptable and recurrences are rare. Infertility is common, but 57 % of those who wished for a child succeeded. A majority of the deliveries involved unplanned and complicated cesarean section.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 53%

See 1 more Smart Citation

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

et al. 2016

View full text Add to dashboard Cite

show abstract

“…11 Several cases of surgical management with ureterolysis or segmental ureteral resection have been reported. 12,13 In these cases, all patients were known to have ureteral endometriosis preoperatively. In the present case, where the diagnosis was unknown and the patient remained symptomatic, nephroureterectomy was undertaken to alleviate chronic symptoms and to provide a diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Intrinsic ureteral endometriosis as a cause of unilateral obstructive uropathy

Mason

Gusenbauer

Kapoor

2016

CUAJ

View full text Add to dashboard Cite

Endometriosis is a common gynecological condition, but involvement of the urinary tract is rare. Ureteral endometriosis can present in a nonspecific fashion, and may mimic ureteral malignancy. This case report describes a 44-year-old woman who initially presented with chronic flank pain and was found to have left-sided renal dysfunction and a distal left ureteric mass. She was eventually diagnosed with ureteral endometriosis after undergoing nephroureterectomy for what was thought to be either a ureteral fibroepithelial polyp or transitional cell carcinoma. Ureteral endometriosis should be considered in the differential diagnosis for a woman presenting with obstructive uropathy in the presence of a ureteric mass.

show abstract

“…Segmental ureteral resection is required for the treatment of ureteral endometriosis, and the ureter end to end anastomosis or ureter reimplantation is performed according to the location and extent of ureteral lesions. [6,7] To sum up, cases of deep infiltrating endometriosis with ureteral involvement are rare. It is so-called "rare" due to its atypical clinical manifestations.…”

Section: Treatment Processmentioning

confidence: 99%

Ureteral endometriosis: A case report

Liu¹,

Liu²,

Kang³

et al. 2017

DCC

View full text Add to dashboard Cite

A case of endometriosis of ureter in the Department of Gynaecology and Obstetrics of the Third Affiliated Hospital of Inner Mongolia Medical School was collected and analyzed on the basis of diagnosis, physical examination and treatment. The disease was rare due to its atypical clinical symptoms so that it was difficult to diagnose. The paper aims to expand our thinking and improve the gynecologists awareness and the level of diagnosis and treatment of rare diseases through the clinical analysis of the case.

show abstract

Laparoscopic Management of Ureteral Endometriosis: The Stanford University Hospital Experience With 96 Consecutive Cases

Cited by 70 publications

References 20 publications

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

Deep infiltrating endometriosis affecting the urinary tract—surgical treatment and fertility outcomes in 2004–2013

Intrinsic ureteral endometriosis as a cause of unilateral obstructive uropathy

Ureteral endometriosis: A case report

Contact Info

Product

Resources

About