{"paper_id":"8834b7d7-1f4d-418c-bf56-fe8cc3b76943","body_text":"Abstract\nA case of bilateral endometriosis of the ureter with bilateral ureteral obstruction is reported. Ureteroscopy failed to detect endometriosis, and only bilateral partial ureterecomy with end-to-end anastomosis revealed the diagnosis. Bilateral endometriosis is very rare. Either extrincic periureteral compression or intrinsic involvement of the ureteral wall causes ureteral obstruction, and may destroy the kidneys with few or no gynecological or urological symptoms. To facilitate early diagnosis and the initiation of appropriate therapy, the gynecologist should regularly search for clinical signs and symptoms of upper urinary tract obstruction in all women with genital endometriosis or a history of previous surgery for genital endometriosis. When renal ultrasound shows upper urinary tract dilatation, ureteral endometriosis should be suspected. The urologist should think of ureteral endometriosis in a premenopausal woman with unilateral or bilateral distal ureteral obstruction of unknown cause, especially when she suffers from genital endometriosis or has a history of this disease.\nSimilar content being viewed by others\nReferences\nJenkins S, Olive DL, Haney AF. Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol 1986;67:335–338\nSlutsky JN, Callahan D. Endometriosis of the ureter can present as renal failure: a case report and review of endometriosis affecting the ureters. J Urol 1983;130:336–337\nAbeshouse BS, Abeshouse G. Endometrosis of the urinary tract: a review of the literature and a report of four cases of vesical endometriosis. J Int Coll Surg 1966;34:43–63\nKerr WS. Endometrosis involving the urinary tract. Clin Obstet Gynecol 1966; 9:331–357\nKlein RS, Cattolica EV. Ureteral endometriosis. Urology 1979;3:477–482\nCullen TS. Adenomyoma of the rectovaginal septum. Bull Johns Hopkins Hosp 1917;28:343–349\nSimon HB, Zimet RR, Schneider E, Morgenstern, LL. Bilateral ureteral obstruction due to endometriosis. JAMA 1963;183:487–489\nYates-Bell AJ, Molland EA, Pryor, JP. Endometriosis of the ureter. Br J Urol 1972;44:58–67\nReddy A, Evans AT. Endometrosis of the ureters. Urology 1974;3:474–477\nMoore JG, Hibbard LT, Growdon WA, Schifrin BS. Urinary tract endometriosis: Enigmas in diagnosis and management. Am J Obstet Gynecol 1979;134:162–172\nGourdie RW, Rogers ACN. Bilateral ureteric obstruction due to endometriosis presenting with hypertension and cyclical oliguria. Br J Urol 1986;58:224.\nBall TL, Platt MA. Urologic complications of endometriosis. Am J Obstet Gynecol 1962;84:1516–1521\nGardner B, Whitaker RH. The use of danzol for ureteral obstruction caused by endometriosis. J Urol 1981;125:117–118\nRay J, Longer M, Ireland K. Ureteral obstruction in postmenopausal women with endometriosis. Urology 1983;26:577–578\nAuthor information\nAuthors and Affiliations\nRights and permissions\nAbout this article\nCite this article\nKuntz, R.M. Bilateral endometriosis of the ureter. Int Urogynecol J 4, 121–125 (1993). https://doi.org/10.1007/BF00376427\nIssue date:\nDOI: https://doi.org/10.1007/BF00376427","source_license":"CC0","license_restricted":false}