{"paper_id":"4f2f1982-2df2-42f4-a2d7-1194b2cf1916","body_text":"Abstract\nUreteral endometriosis is a rare disease that typically is unilateral. Endometriosis involving both ureters and surgical management after hormone therapy failure has seldom been described. We describe a patient with bilateral ureteral endometriosis who underwent ureteroneocystostomy with psoas hitches of both ureters. A 33-year-old woman with advanced endometriosis and recurrent pyelonephritis was found to have high-grade bilateral ureteral obstruction at the pelvic inlet from ureteral endometriosis. The patient subsequently underwent a supracervical hysterectomy with bilateral salpingo-oophorectomy, ureterolysis, and ureteroneocystostomy with psoas hitches and ureteral stent placements. Surgical therapy is reserved for advanced disease with the optimal choice being a ureteral reimplantation with a psoas hitch. The key operative point for a successful psoas hitch ureteral reimplantation is completely mobilizing the bladder anteriorly and laterally.\nSimilar content being viewed by others\nReferences\nCullen TS (1917) Adenomyoma of the tect-vaginal septum. Bull Johns Hopkins Hosp 28:343–349\nGehr TWB, Sica DA (1987) Case report and review of the literature: ureteral endometriosis. Am J Med Sci 294:346–352\nEsen T, Akinci M, Ander H, Tunc M, Tellaloglu S, Narter I (1990) Bilateral ureteric obstruction secondary to endometriosis. Br J Urol 66:98–99\nLiffshitz S, Buchsbaum HJ (1982) Urinary tract involvement by benign and malignant urologic disease. In: Buchsbaum HJ, Schmidt JD (eds) Gynecologic and obstetric urology. 2nd edn. Philadelphia: WB Saunders, p 406\nStillwell TJ, Kramer SA, Lee RA (1986) Endometriosis of ureter. Urology 28:81–85\nStanley KE Jr, Utz DC, Dockerty MB (1965) Clinically significant endometriosis of the urinary tract. Surg Gynecol Obstet 120:491–498\nYohannes P (2003) Ureteral endometriosis. J Urol 170:20–25\nTakeuchi S, Minoura H, Toyoda N et al (1997) Intrinsic ureteric involvement by endometriosis: a case report. J Obstet Gynaecol Res 23:273–276\nel Kahder E, Guille F, Patard JJ et al (1998) Ureteral reimplantation on psoas bladder: long term results. Acta Urol Belg 66:15–20\nNezhat CH, Malik S, Nezhat F et al (2004) Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative endometriosis. JSLS 8:3–7\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nYee, D.S., Shanberg, A.M., Ngo, A.T. et al. Surgical management of bilateral ureteral endometriosis. Int Urol Nephrol 38, 469–471 (2006). https://doi.org/10.1007/s11255-006-0101-7\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s11255-006-0101-7","source_license":"CC0","license_restricted":false}