{"paper_id":"438dc7c0-b0b8-42c9-a2a5-7cc411a5f3df","body_text":"Abstract\nEndometriosis is an uncommon cause of ureteric obstruction. When it occurs, unilateral involvement predominates. We report a case characterized by the unusual presentation of acute hypertensive retinopathy and renal failure. The patient was treated surgically by ureterolysis with omental wrapping, total hysterectomy and salpingo-oophorectomy. Nephrectomy was not performed on the non-functioning renal unit as the obstruction had been relieved. Patients who have previously been treated with conservative surgery for pelvic endometriosis are at risk of recurrent symptomatic disease, and require long-term follow-up with particular consideration being given to monitoring of the upper tracts by renal ultrasound.\nSimilar content being viewed by others\nReferences\nShook TE, Nyberg LM. Endometriosis of the urinary tract. Urology 1988;31:1–6.\nPatel A, Thorpe P, Ramsey JWA, Shepherd JH, Kirby RS, Hendry WF. Endometriosis of the ureter. Br J Urol 1992;69:495–498\nMourin-Jouret A, Squifflet JP, Cosyns JP, Pirson Y, Alexandrie GPJ. Bilateral ureteral endometriosis with end-stage renal failure. Urology 1987;30:302–306\nMiller MAW, Morgan RJ. Bilateral ureteric obstruction due to endometriosis resulting in unilateral loss of renal function. Br J Urol 1990;65:421\nEsen T, Akinci M, Ander H, Tunc M, Tellaloglu S, Narter I. Bilateral ureteric obstruction secondary to endometriosis. Br J Urol 1990;66:98–99\nLam AM, French M, Charnock FM. Bilateral ureteric obstruction due to recurrent endometriosis associated with hormone relacement therapy. Aust NZ J Obstet Gynecol 1992;32:83–84\nPayne CK, Whitmore KE. Genitourinary endometriosis. AUA Update 1991;10:114–119\nMoore JG, Hibbard LT, Growden WA, Schifrin BA. Urinary tract endometriosis: enigmas in diagnosis and management. Am J Obstet Gynecol 1979;134:162–172\nJepsen JM, Hansen KB. Danazol in the treatment of ureteral endometriosis. J Urol 1988;139:1045–1046\nHeaps JM, Nieberg RK, Berek JS. Malignant neoplasms arising in endometriosis. Obstet Gynecol 1990;75:1023–1028\nTresidder GC, Blandy JP, Singh M. Omental sleeve to prevent retroperitoneal fibrosis under the ureter. Urol Int 1972;27:144–148\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nWoo, H.H., Millard, R.J. & Wain, G.V. Bilateral ureteric obstruction from pelvic endometriosis. Int Urogynecol J 5, 363–365 (1994). https://doi.org/10.1007/BF00418701\nIssue date:\nDOI: https://doi.org/10.1007/BF00418701","source_license":"CC0","license_restricted":false}