Endoscopic Diagnosis and Management of Ureteral Endometriosis
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This paper reports a rare case of ureteral obstruction due to isolated intrinsic endometriosis, diagnosed and treated endoscopically with holmium laser ablation and leuprolide therapy.
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Abstract
It is estimated that 1% of patients with endometriosis have involvement of the urinary tract, with the bladder being the most common location. Ureteral endometriosis is a rare entity, and the majority of cases are found at exploratory laparotomy for extensive involvement of the pelvic organs. Obstruction of the ureter may be caused by extrinsic or intrinsic disease, with the extrinsic form occurring four times as often. Progressive ureteral obstruction can be insidious in onset and ultimately lead to renal failure. Hormone therapy has had variable success, and open surgery has been the mainstay of treatment. Only one case of ureteral endometriosis, both intrinsic and extrinsic, diagnosed at ureteroscopy has been reported previously. We present a case of ureteral obstruction secondary to isolated intrinsic endometriosis diagnosed at ureteroscopy and treated endoscopically with holmium laser ablation and leuprolide therapy.
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Cited by (15)
- Chronic Pelvic Puzzle: Navigating Deep Endometriosis with Renal Complications 2023
- Isolated Intrinsic Ureteral Endometriosis: A Rare Presentation of Ureteral Obstruction 2021
- Thulium Laser Coagulation of Residual Ureteral Endometriosis 2019
- Videourology Abstracts 2019
- Ureteral obstructive nephropathy due to compression by intrinsic endometriosis of the ovary 2018
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Intrinsic ureteral endometriosis as a cause of unilateral obstructive uropathy 2016
- Müllerianosis: Four Developmental (Embryonic) Müllerian Diseases 2013
- Surgical Therapies: Ureteric Dissection and Urological Endometriosis 2011
- Diagnosis 2011
- Invasive endometriosis 2010
- Endoscopic Laser Ablation of Ureteral Endometriosis 2009
- Ressonância magnética na endometriose do trato urinário baixo: ensaio iconográfico 2009
- Pelvic endometriosis and hydroureteronephrosis 2009
- Uropatía obstructiva secundaria a endometriosis vesicoureteral: características clínico-radiológicas y anatomopatológicas 2009
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