Endometriosis Is a Possible Cause

Christoph Therre, C Therre, Therre C
Deutsches Arzteblatt international · 2019 · vol. 116(11) , pp. 191 · doi:10.3238/arztebl.2019.0191a · PMID:31014450 · PMC6503171 · W3011011233
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Deeply infiltrating endometriosis of the bladder or ureter, occurring in 1-2% of endometriosis patients, can cause hematuria in premenopausal women and warrants gynecological referral.

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This correspondence highlights deeply infiltrating endometriosis of the bladder or ureter as a potential, yet often overlooked, cause of hematuria in premenopausal women. The author notes that while reliable incidence data is scarce, estimates suggest one to two percent of patients with endometriosis present with urogenital involvement. Symptoms may fluctuate with the menstrual cycle but can become independent in advanced cases, necessitating consideration of this etiology during clinical evaluation. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis affecting the urinary tract and its presentation as hematuria.

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Abstract

Endometriosis Is a Possible CauseI read the article on investigating hematuria with great interest (1).Unfortunately, one cause was not mentioned, although it occurs at a rate that is relevant: deeply infiltrating endometriosis of bladder or ureter.Reliable data on rates hardly exist, but according to estimates, 1-2% of patients with endometriosis have urogenital endometriosis.The symptoms depend on a woman's monthly cycle, but in advanced findings they can occur independently of the monthly cycle.For this reason, this cause should always be considered in premenopausal women with hematuria, and patients should be referred for a gynecological examination.
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Correspondence Endometriosis Is a Possible Cause I read the article on investigating hematuria with great interest (1). Unfortunately, one cause was not mentioned, although it occurs at a rate that is relevant: deeply infiltrating endometriosis of bladder or ureter. Reliable data on rates hardly exist, but according to estimates, 1�2% of patients with endometriosis have urogenital endometriosis. The symptoms depend on a woman�s monthly cycle, but in advanced findings they can occur independently of the monthly cycle. For this reason, this cause should always be considered in premenopausal women with hematuria, and patients should be referred for a gynecological examination. DOI: 10.3238/arztebl.2019.0191a Dr. med. Christoph Therre Klinisch wissenschaftliches Endometriosezentrum Albertinenkrankenhaus, Hamburg [email protected] Conflict of interest statement The author declares that no conflict of interest exists. | 1. | Bolenz C, Schr�ppel B, Eisenhardt A, Schmitz-Dr�ger BJ, Grimm MO: The investigation of hematuria. Dtsch Arztebl Int 2018; 115: 801�7 VOLLTEXT |

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Female Hematuria Humans

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