Urinary tract endometriosis treated by laparoscopy

Nezhat, Camran; Nezhat, Farr; Nezhat, Ceana H.; Nasserbakht, F; Rosati, M; Seidman, Daniel S.

doi:10.1016/s0015-0282(16)58683-x

Cited by 140 publications

(9 citation statements)

References 16 publications

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“…The exam is simple and non-invasive, the evaluation requires no intravenous contrast and the findings are highly sensitive for hydronephrosis. Therefore, in clinical practice, periodic kidney ultrasound (every 6 months at first) from the time of diagnosis is generally suggested [25,35]. …”

Section: Resultsmentioning

confidence: 99%

“…Nowadays, laparoscopic interventions such as ureterolysis, ureterostomy and ureteral reimplantation for ureteral stricture disease secondary to endometriosis can be performed by embracing the same principles of traditional urologic surgery, with a magnified view, superior exposure and a greater ability to identify the disease in the pelvis and retroperitoneal space as well as in the lower urinary tract [9,55,56,57,58,59]. …”

Section: Resultsmentioning

confidence: 99%

“…Preoperative planning has to be rigorous and complete surgical excision of UE should be ensured by a team of experts who are familiar with endometriosis [35]. …”

Section: Resultsmentioning

confidence: 99%

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Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Maccagnano¹,

Pellucchi²,

Rocchini³

et al. 2013

Urol Int

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Introduction: The ureteral involvement in deep pelvic endometriosis in usually asymptomatic and might lead to a silent loss of renal function. As a matter of fact, the diagnosis and the treatment modalities are still a matter of debate. Materials and Methods: We performed a literature review by searching the MEDLINE database for articles published in English between 1996 and 2010, using the key words urinary tract endometriosis, ureteral endometriosis, diagnosis and treatment. We found more than 200 cases of ureteral endometriosis (UE). Results: The disease most commonly affects a single distal segment of the ureter, with a left predisposition in most of the patients. Two major pathological types of UE may be distinguished: intrinsic and extrinsic. The symptoms are usually nonspecific and owing to secondary obstruction. The diagnosis has to be considered as a step- by-step procedure, starting from physical examination to highly detailed imaging methods. Nowadays, the treatment is usually chosen according to the type of UE, the site lesion and the distance to the ureteral orifice, with the use of JJ stents remaining a matter of debate. Conclusions: A close collaboration between the gynecologist and the urologist is advisable, especially in referral centers. Surgical treatment can lead to good results in terms of both patient compliance and prognosis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Maccagnano¹,

Pellucchi²,

Rocchini³

et al. 2013

Urol Int

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“…Moreover, it is fundamental: (1) to rule out vesical epithelial malignancy, (2) to ascertain the precise location of BE nodule (distance with the ureteral meatus and the lower endometriotic margin), and (3) to define the ureteral status. This leads to specify the surgical procedures required in order to achieve complete excision of symptomatic DIE lesions, that represents the only way to prevent the recurrence [77,78,79,80,81]. As a matter of fact, recurrence corresponds to actual persistence of BE lesions that were left in place as the result of an incomplete initial surgical removal [10,77,79].…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of urinary tract endometriosis (UTE) has increased during the last few years and, nowadays, it ranges from 0.3 up to 12%, considering all women affected by endometriosis [2,3,4,5,6,7,8,9,10]. …”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

et al. 2012

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Background: The bladder is the most common affected site in urinary tract endometriosis, being diagnosed during gynecologic follow-up. The surgical urological treatment might lead to good results. Study Objective: To define the state of the art in the diagnosis and treatment of bladder endometriosis. Methods: We performed a literature review by searching the MEDLINE database for articles published between 1996 and 2011, limiting the searches to the words: urinary tract endometriosis, bladderendometriosis, symptoms, diagnosis and treatment.Results: Deep pelvic endometriosis usually involves the urinary system, with the bladder being affected in 85% of cases. The diagnosis has to be considered as a step-by-step procedure. Currently, the treatment is usually surgical, consisting of either transurethral resection or partial cystectomy, and eventually associated with hormonal therapy. The hormonal therapy alone counteracts only the stimulus of endometriotic tissue proliferation, with no effects on the scarring caused by this tissue. The overall recurrence rate is about 30% for combined therapies and about 35% for the hormonal treatment alone. Conclusions: The bladder is the most common affected site in urinary tract endometriosis. Most of the time, this condition is diagnosed because of the complaint of urinary symptoms during gynecologic follow-up procedures for a deep pelvic endometriosis: a close collaboration between the gynecologist and the urologist is advisable, especially in highly specialized centers. The surgical urological treatment might lead to good results in terms of patients’ compliance and prognosis.

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Surgical Therapies: Ureteric Dissection and Urological Endometriosis

Rosamilia

Dowling

2011

Endometriosis

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Urinary tract endometriosis treated by laparoscopy

Cited by 140 publications

References 16 publications

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature

Diagnosis and Treatment of Bladder Endometriosis: State of the Art

Surgical Therapies: Ureteric Dissection and Urological Endometriosis

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