Ureteral endometriosis: a complication of rectovaginal endometriotic (adenomyotic) nodules

Donnez, Jacques; Nisolle, Michelle; Squifflet, Jean‐Paul

doi:10.1016/s0015-0282(01)02921-1

Cited by 151 publications

(131 citation statements)

References 12 publications

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“…Choice of technique is dependent of the location and size of the resected ureteric segment, 6 however both techniques have been successfully described in the literature with significant improvement in symptoms and low complication and recurrence rates. 21,24 In very rare cases renal function can be significantly reduced in the presence of severe hydronephrosis and in such cases consideration should be given to nephrectomy due to the risks of recurrent infection and vascular hypertension. This can be performed laparoscopically in a multidisciplinary setting at the time of the primary surgery for endometriosis.…”

Section: Bladder and Ureteric Endometriosismentioning

confidence: 99%

The Diagnosis and Management of Severe Endometriosis

Mallick¹

2017

MOJS

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Section: Bladder and Ureteric Endometriosismentioning

confidence: 99%

The Diagnosis and Management of Severe Endometriosis

Mallick¹

2017

MOJS

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“…Endometriosis of the cervix and ureter is relatively rare, and ureteral endometriosis can eventually lead to hydronephrosis and occult renal failure. [4,5] Endometriosis involving the ureter is often unilateral, involving the distal ureter adjacent to the uterine artery. It is divided into intraluminal type and exogastric type according to the lesion site.…”

Section: Treatment Processmentioning

confidence: 99%

Ureteral endometriosis: A case report

Liu¹,

Liu²,

Kang³

et al. 2017

DCC

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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.

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“…Do we really need prospective, randomized studies to prove that a nodule more than 3 cm in size in the rectovaginal space must be removed? Do we really need to carry out this type of investigation, since we know that in rectovaginal nodules, there is a close histological relationship between nerves and endometriotic foci and fibrotic components of the nodules [20] and that lateral extension of rectovaginal nodules can provoke silent kidney damage in 10% of cases [16,21]?…”

Section: Moderate and Severe Endometriosis-associated Infertilitymentioning

confidence: 99%

The Efficacy of Medical and Surgical Treatment of Endometriosis-Associated Infertility and Pelvic Pain

Donnez

Squifflet

Pirard

et al. 2002

Gynecol Obstet Invest

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This article is a review of the efficacy of medical and surgical treatment of endometriosis-associated infertility and pelvic pain. Endometriosis is the cause of pelvic pain (dysmenorrhea, dyspareunia) and infertility in more than 35% of women of reproductive age. Complete resolution of endometriosis is not yet possible but therapy has essentially three main objectives: (1) to reduce pain; (2) to increase the possibility of pregnancy; (3) to delay recurrence for as long as possible. It could be concluded that a consensus will probably never be reached on minimal and mild endometriosis. Nevertheless, because the Canadian study reported a large number of cases, we strongly support the view that visible endometriosis must be removed at the time of surgery. In cases of moderate and severe endometriosis-associated infertility, the combined approach (operative laparoscopy with GnRH-a) must be considered as ‘first-line’ treatment. The mean pregnancy rate of 50% reported in the literature following surgery provides scientific proof that operative treatment should be undertaken first to give our patients the best chance of conceiving naturally.

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Ureteral endometriosis: a complication of rectovaginal endometriotic (adenomyotic) nodules

Cited by 151 publications

References 12 publications

The Diagnosis and Management of Severe Endometriosis

The Diagnosis and Management of Severe Endometriosis

Ureteral endometriosis: A case report

The Efficacy of Medical and Surgical Treatment of Endometriosis-Associated Infertility and Pelvic Pain

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