Laparoscopic surgery for severe ureteric endometriosis

Miranda-Mendoza, Ignacio; Kovoor, Elias; Nassif, Joseph; Ferreira, Hélder; Wattiez, Arnaud

doi:10.1016/j.ejogrb.2012.07.002

Cited by 36 publications

(35 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The incidence of ureteral endometriosis is estimated at 0.08%-12% of all women with DIE (3,15,36,37). However, in a select group of patients, such as the sample studied, with endometriosis involving the USL, the prevalence of ureteral endometriosis was 35.1%, which is similar to the studies previously published in the literature that show greater ureteral involvement in patients with USL nodules (17,32).…”

Section: Discussionsupporting

confidence: 83%

“…With respect to symptoms, there was no significant difference between the groups with and without ureteral nodules. Ureteral involvement is usually silent (17,35). Therefore, it should be suspected in all cases of DIE and investigated with imaging tests in the preoperative period (17).…”

Section: Discussionmentioning

confidence: 99%

“…Ureteral endometriosis is positively associated with USL endometriosis. Miranda-Mendoza et al (17) observed that 12 of 13 patients with ureteral endometriosis presented with ipsilateral involvement of the USL. In the study by Seracchioli et al (9), in 30 patients with ureteral endometriosis, all presented an association with unilateral USL endometriosis, but the nodule size that signals a significant association is unknown.…”

mentioning

confidence: 99%

“…Ureteral endometriosis can be approached laparoscopically (17,22) and can be treated effectively with ureterolysis in almost all cases (23). This condition can be managed using ureterolysis, double-J catheter implantation, termino-terminal anastomosis after resection, or ureter reimplantation in the bladder using a Boari flap or psoas hitch (23).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Endometriosis on the uterosacral ligament: a marker of ureteral involvement

Lima¹,

Ribeiro²,

Nicola³

et al. 2017

Fertility and Sterility

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Endometriosis on the uterosacral ligament: a marker of ureteral involvement

Lima¹,

Ribeiro²,

Nicola³

et al. 2017

Fertility and Sterility

View full text Add to dashboard Cite

show abstract

“…In our study, UNC was chosen as endometriotic lesions were large, situated near the bladder wall, or caused hydronephrosis but most of the lesions were extrinsic by histology. It means that in theory ureterolysis via ureteral shaving could have been performed more often [31, 44]. In the future, we aim to increase the proportion of laparoscopic surgery in UTE as in many other referral centers.…”

Section: Discussionmentioning

confidence: 99%

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

Ultrasound Characteristics and Scanning Techniques of Uterosacral Ligaments for the Diagnosis of Endometriosis

Maple

Chalmers

Bezak

et al. 2022

J of Ultrasound Medicine

View full text Add to dashboard Cite

Endometriosis is a common and painful gynaecological condition that takes an average of 6.4years to diagnose. While laparoscopic surgery is the recommend gold standard in diagnosis of endometriosis, transvaginal ultrasound (TVS) is able to assist surgeons in the planning and management of patients, especially when there is limited visualisation in the posterior compartment. Uterosacral ligaments (USL) are located in the posterior compartment and are one of the first and most common places that endometriosis deposits, The International Deep Endometriosis Analysis (IDEA) group consensus, which are the current guidelines for DE imaging, recommends a thorough ultrasound assessment to identify endometriotic disease. This includes an assessment of anatomic structures in the posterior compartment including the USLs. However, IDEA does not explicitly articulate specifics of USL imaging and measurements on ultrasound. The primary aim of this review is to determine is to identify ultrasound techniques and characteristics of USLs in the diagnosis of deep infiltrative endometriosis (DE). The secondary aim is to describe and summarise these findings into normal and pathological findings. A systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. A population, interventions, comparator, and outcome framework was used to define a search strategy. Articles were screened using Covidence review management system, and data was extracted by two authors using a standardised and piolet‐tested form. Quality assessment was conducted using the Critical Appraisal Skills Programme (CASP). Medline, Embase and Scopus and Google Scholar were searched yielding 250 articles, with 22 being included in the review. Analysis of the data demonstrated inconsistent reporting of ultrasound techniques and characteristics of USLs. Most (20/22) papers described abnormal criteria of USLs, only 5/22 papers determined what the normal USL appearance is or what techniques (11/22) were applied. Even though reporting was heterogeneous, there was a high level of tertiary centre participation with gynaecological experienced operators, therefore was a high level of agreement. Through review of the current literature, this study has investigated ultrasound techniques and characteristics of USLs for the diagnosis of DE. All papers included in this review reported presence of pathological sonographic findings of the USLs when DE was presented therefore it is recommended that USL examination become a part of TVS exams when DE is clinically suspected. This study also demonstrated that there was lack of data and no agreement when it comes to measuring USLs with DE. Even so, the current evidence demonstrates that scanning the USLs, and locating, identifying, and describing USL thickening and endometriotic nodules in the various locations using the described techniques and characteristics in this review has clinical value in early diagnosis.

show abstract

Laparoscopic surgery for severe ureteric endometriosis

Cited by 36 publications

References 21 publications

Endometriosis on the uterosacral ligament: a marker of ureteral involvement

Endometriosis on the uterosacral ligament: a marker of ureteral involvement

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

Ultrasound Characteristics and Scanning Techniques of Uterosacral Ligaments for the Diagnosis of Endometriosis

Contact Info

Product

Resources

About