Obstructive uropathy associated with endometriosis

C Kane, Claire Kane, Kane C, Drouin P, P Drouin, Pierre Drouin
American journal of obstetrics and gynecology · 1985 · vol. 151(2) , pp. 207–211 · doi:10.1016/0002-9378(85)90013-4 · PMID:3970087 · W1999420257
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This paper investigated obstructive uropathy as a complication of endometriosis, detailing its presentation and management in affected patients.

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Abstract

Although endometriosis involving the urinary tract is uncommon, it is responsible for considerable morbidity. A review of eight cases at two Ottawa teaching hospitals from 1979 to 1983 revealed obstructive uropathy in seven patients. There was permanent loss of kidney function in two, ovarian remnant syndrome in two, and patient and family history of renal disease in three. The diagnosis of endometriosis was not made before operation in four patients. Endometriosis was localized in four patients and generalized in the remaining four, while four patients had significant uterosacral nodularity. The conclusion reached after study of this small but important population is that physicians should have a heightened awareness of this uncommon but serious manifestation of the disease. Earlier diagnosis might be achieved on the basis of a high index of suspicion and careful physical and pelvic examination. The liberal use of intravenous pyelography even in cases of minimal endometriosis is urged. Intensive and prolonged follow-up of all patients with the diagnosis of endometriosis is recommended until the menopause has been reached. Treatment of obstructive uropathy requires meticulous surgical intervention and we recommend ovarian ablation with adjuvant hormonal therapy in most circumstances.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ureteral Neoplasms Ureteral Obstruction Adult Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Retrospective Studies Ureteral Neoplasms Ureteral Neoplasms Ureteral Neoplasms Ureteral Obstruction Ureteral Obstruction Ureteral Obstruction

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 (22)

Cited by (37)

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License: CC0 · commercial use OK