Management of ureteral endometriosis: a report of ten cases

Li CY, Chunyan Li, Chun-yan Li, Wang HQ, Hong-qing Wang, Hongqing Wang, Haiyuan Liu, Liu HY, Hai-yuan Liu, Jing-He Lang, Jinghe Lang, Lang JH
Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih · 2008 · vol. 23(4) , pp. 218–223 · doi:10.1016/s1001-9294(09)60042-0 · PMID:19180882 · W2035544392
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This study reviewed ten cases of ureteral endometriosis, finding it a rare condition often requiring surgical management like ureterolysis or ureterectomy, with hormonal therapy as an adjuvant treatment.

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Abstract

OBJECTIVE: To investigate the clinical features and management of ureteral endometriosis. METHODS: Patients surgically and histologically diagnosed as ureteral endometriosis from January 2001 to January 2007 in Peking Union Medical College Hospital were retrospectively reviewed. RESULTS: Ten patients were diagnosed as ureteral endometriosis among 7561 cases with surgically and histologically proved diagnosis of endometriosis, with an incidence of 0.132%. Nine out of 10 patients were extrinsic ureteral endometriosis and concomitant with severe pelvic endometriosis, and the other was intrinsic ureteral endometriosis. Hormone therapy failed in 2 patients with urinary tract obstruction. Ureterolysis was performed in 6 patients and ureterectomy was performed in 4 patients. One case of ureteral recurrence was observed in a postmenopausal woman without hormonal replacement therapy who received laparoscopic ureterolysis and hysterectomy with bilateral adnexectomy. No relapse was observed in the other 9 patients. CONCLUSIONS: Ureteral endometriosis is a rare entity. The upper urinary tract should be evaluated in patients with severe endometriosis, even in postmenopausal women. The treatment of ureteral endometriosis usually requires surgery, while ureterolysis should not be performed in patients with extensive disease. As a form of adjuvant therapy of surgery, hormonal therapy is an appropriate option.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Ureter Adult Adult Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Female Humans Humans Middle Aged Middle Aged Retrospective Studies Retrospective Studies Ureter Ureter

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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Cited by (5)

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