Outcome of laparoscopic ureterolysis for ureteral endometriosis

Fabio Ghezzi, Cromi A, Antonella Cromi, Valentino Bergamini, Bergamini V, Maurizio Serati, Sacco A, Alessandro Sacco, Michael D. Mueller
Fertility and sterility · 2006 · doi:10.1016/j.fertnstert.2005.12.071 · PMID:16764874
other OA: bronze public-domain-us
🔓 Open OA copy View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

Laparoscopic ureterolysis was effective in treating moderate-to-severe hydronephrosis from ureteral endometriosis in 96.7% of patients at 3 months, with a 12.1% recurrence rate over a median 16-month follow-up.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

OBJECTIVE: To evaluate the adequacy of laparoscopic ureterolysis as a primary treatment option for ureteral endometriosis. DESIGN: Prospective collaborative cohort study. SETTING: Gynecologic departments of three university hospitals. PATIENT(S): Women with ureteral endometriosis exhibiting moderate-to-severe hydronephrosis on preoperative intravenous pyelography. INTERVENTION(S): Laparoscopic ureterolysis. MAIN OUTCOME MEASURE(S): Cure rate, disesase recurrence. RESULT(S): Thirty-three patients underwent laparoscopic ureterolysis during the study period. Bilateral involvement of ureters was found in 4 (12.1%) cases. In women with unilateral lesions the left ureter was more frequently affected (24/29 vs. 5/29). Ureteral involvement was associated with uterosacral ligaments endometriosis in 65.5% (22/34) of cases. No inadvertent ureteral injuries occurred during ureterolysis. A partial wall resection of the ureter was necessary in one case and a segmental ureteral resection with vescicopsoas hitch was required in a women with intrinsic ureteral endometriosis. The median (range) follow-up time was 16 months (range: 3-53 months). Thirty-two patients (96.7%) had a patent ureter on the 3-month postoperative intravenous pyelography. The recurrence rate of ureteral lesions was 12.1% (4/33). CONCLUSION(S): Our findings suggest that a conservative laparoscopic approach is an effective treatment option in most patients with ureteral endometriosis exhibiting moderate-to-severe hydronephrosis.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ureter Ureteral Diseases Adult Cohort Studies Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Humans Hydronephrosis Hydronephrosis Prospective Studies Recurrence Severity of Illness Index Treatment Outcome Ureter Ureter

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (12)

Cited by (2)

Source provenance

crossref
last seen: 2026-08-06T06:41:12.656957+00:00
europepmc
last seen: 2026-09-14T06:17:53.580500+00:00
pubmed
last seen: 2026-05-13T22:15:18.313808+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine