Total Laparoscopic Ureteroneocystostomy for Ureteral Endometriosis: A Single-Center Experience of 160 Consecutive Patients

Ceccaroni, Marcello; Ceccarello, Matteo; Caleffi, G; Clarizia, Roberto; Scarperi, S.; Pastorello, Mauro; Molinari, Alberto; Ruffo, Giacomo; Cavalleri, Stefano

doi:10.1016/j.jmig.2018.03.031

Cited by 45 publications

(53 citation statements)

References 25 publications

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“…This is, in general terms, the procedure of choice for distal third UE. After transection of the ureter proximal to the stricture, it is generally reimplanted in the bladder dome, with or without a bladder-psoas hitch, in order to achieve a tension-free anastomosis with antireflux plasty of the bladder valve ( Figure 9 ) [ 57 , 58 ].…”

Section: Ureteral Endometriosismentioning

confidence: 99%

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

et al. 2020

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We aim to describe the diagnosis and surgical management of urinary tract endometriosis (UTE). We detail current diagnostic tools, including advanced transvaginal ultrasound, magnetic resonance imaging, and surgical diagnostic tools such as cystourethroscopy. While discussing surgical treatment options, we emphasize the importance of an interdisciplinary team for complex cases that involve the urinary tract. While bladder deep endometriosis (DE) is more straightforward in its surgical treatment, ureteral DE requires a high level of surgical skill. Specialists should be aware of the important entity of UTE, due to the serious health implications for women. When UTE exists, it is important to work within an interdisciplinary radiological and surgical team.

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Section: Ureteral Endometriosismentioning

confidence: 99%

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

et al. 2020

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“…Beyond the ability to diagnose USL DE non‐invasively, there is significant value in mapping disease. A nodule within the USL may grow and exert extrinsic force on the ipsilateral ureter, leading to stricture and proximal hydroureter or hydronephrosis . It has been proposed that USL nodules measuring 17 mm or greater should raise suspicion for ureteral involvement, which generally means infiltration of the disease into the parametrium has occurred.…”

Section: Introductionmentioning

confidence: 99%

A pictorial guide to the ultrasound identification and assessment of uterosacral ligaments in women with potential endometriosis

Leonardi

Condous

2019

Australas J Ultrason Med

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We believe the uterosacral ligaments (USLs) are an essential key to resolving the dilemma of diagnosing endometriosis non-invasively. This editorial will utilise laparoscopic and ultrasonographic figures and videos, along with written descriptive techniques, to educate clinicians, sonographers, sonologists and radiologists on normal and abnormal USLs to improve knowledge and skill in scanning patients with possible endometriosis.

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“…3 Although it has been clearly demonstrated that endometriosis reduces fertility, [4][5][6][7] pregnancy among women affected by this disease is becoming increasingly common, thanks to assisted reproductive technology (ART) 8 and complex surgical eradicative procedures. [9][10][11][12][13][14][15][16][17] Despite the rising rates of pregnant women with a previous diagnosis of endometriosis (and in many cases also previous surgical procedures for this condition), information regarding the possible effect of the disease on obstetrical and neonatal outcomes is still scant. Initial reports described an apparently increased risk of preterm birth among women with endometriosis.…”

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confidence: 99%

Pregnancy after Endometriosis: Maternal and Neonatal Outcomes according to the Location of the Disease

et al. 2019

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Objective To systematically evaluate pregnancy and labor course, obstetrical complications, and maternal and neonatal outcomes in women with endometriosis, stratifying according to the specific location of the disease. Study Design We retrospectively analyzed our prospectively maintained obstetrical database from January 2011 to August 2014 to identify all women with a previous histological diagnosis of endometriosis who delivered at our institution (cases). We divided the cases according to the specific location of the disease (deep infiltrating endometriosis, ovarian endometriosis, and peritoneal endometriosis). As controls, we identified all unaffected women who delivered in the year 2013. To avoid the confounding effect of parity, we limited our analysis to nulliparous women. Results A total of 118 nulliparous women with endometriosis and 1,690 nulliparous controls were identified. Women with endometriosis were significantly older, had a lower body mass index, and had a higher incidence of assisted reproductive technology. The duration of pregnancy was significantly shorter among women with endometriosis. A higher incidence of placenta previa (3.4 vs. 0.5%; p = 0.006), hypertension (11 vs. 5.9%; p = 0.04), cesarean section (41.5 vs. 24.2%; p < 0.0001), and vacuum delivery (10.1 vs. 2.9%; p = 0.006) was found in women with endometriosis. Neonatal outcomes were similar between groups. The incidence of placenta previa in patients with deep endometriosis was 11.7 versus 0.5% among controls (p < 0.0001), whereas in women with ovarian and peritoneal endometriosis, it was similar to the controls. Conclusion Women with endometriosis have a higher incidence of vacuum delivery, cesarean section, and placenta previa compared with unaffected women. The higher risk of placenta previa is attributable exclusively to women with deep endometriosis. Neonatal outcomes are unaffected by the presence of the disease.

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Total Laparoscopic Ureteroneocystostomy for Ureteral Endometriosis: A Single-Center Experience of 160 Consecutive Patients

Cited by 45 publications

References 25 publications

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

Endometriosis and the Urinary Tract: From Diagnosis to Surgical Treatment

A pictorial guide to the ultrasound identification and assessment of uterosacral ligaments in women with potential endometriosis

Pregnancy after Endometriosis: Maternal and Neonatal Outcomes according to the Location of the Disease

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