Surgical Therapies: Ureteric Dissection and Urological Endometriosis

Endometriosis of the ureteral stump: an entity with severe manifestations

“…Urological endometriosis affects women most commonly in the 25-40-year-old age group. In the majority, the bladder is involved, and this accounts for 85% of urological endometriosis [1]. Ureteral endometriosis only accounts for 0.1−0.4% of all cases.…”

“…Less commonly, endometriosis is intrinsic resulting in a thickened ureteral wall with fibrosis and proliferation of the ureteric muscolaris [3]. At time of diagnosis, about 30% of women with ureteral endometriosis will have 25−50% loss of nephrons and when there is less than 15−20% of total function, a decision for nephrectomy may be indicated [1][2][3]. In these cases, the benefit of total nephroureterectomy versus total nephrectomy has not been examined.…”

“…1 Obstetrics and Gynecology Unit,2 Deparment of Urology,3 Deparment of Pathology, IRCCS San Raffaele Scientific Institute, Milan (Italy)…”