V01-12 THULIUM LASER COAGULATION OF RESIDUAL URETERAL ENDOMETRIOSIS

You have accessJournal of UrologyEndourology & Nephrolithiasis (V01)1 Apr 2019V01-12 THULIUM LASER COAGULATION OF RESIDUAL URETERAL ENDOMETRIOSIS Claudia Signorini*, Gloria Motta, Damiano Vizziello, Maria Chiara Clementi, Sebastiano Nazzani, Sebastiano Nazzani, Oskar Blezien, Robert Stubinski, Pietro Acquati, Stefano Picozzi, Elisabetta Finkelberg, Dario Ratti, Martina Manfredi, and Luca Carmignani Claudia Signorini*Claudia Signorini* More articles by this author , Gloria MottaGloria Motta More articles by this author , Damiano VizzielloDamiano Vizziello More articles by this author , Maria Chiara ClementiMaria Chiara Clementi More articles by this author , Sebastiano NazzaniSebastiano Nazzani More articles by this author , Sebastiano NazzaniSebastiano Nazzani More articles by this author , Oskar BlezienOskar Blezien More articles by this author , Robert StubinskiRobert Stubinski More articles by this author , Pietro AcquatiPietro Acquati More articles by this author , Stefano PicozziStefano Picozzi More articles by this author , Elisabetta FinkelbergElisabetta Finkelberg More articles by this author , Dario RattiDario Ratti More articles by this author , Martina ManfrediMartina Manfredi More articles by this author , and Luca CarmignaniLuca Carmignani More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555084.32156.cdAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Thulium laser coagulation of bleeding spots of endometriosis in left residual ureter in a patient underwent ureteral reimplantation METHODS: We present this case report of a 36-years-old woman suffering from deep infiltrating endometriosis since 2009. In the past medical history she had exploratory laparotomy for hemoperitoneum due to tubaric vasal haemorrage, toracoscopy and biopsy for pleural effusion and pneumothorax in 2009, appendicectomy, ureterolysis and left salpingectomy and a following left ureteral reimplantation with Leadbetter-Politano technique and psoas-hitch in 2011. Renal function was preserved, with no signs of hydroureteronephrosis during the annual renal ultrasounds. In May 2018 the patient underwent hormonal stimulation for ART with the following appearance of macrohematuria, refractory to conservative treatment. A flexible cystoscopy and a semirigid ureteroscopy was performed with the evidence of a endometrial bleeding spot in the left residual ureter. RESULTS: The latter was controlled with thulium laser coagulation (fiber 272 micron, 15W) of the lesion with an immediate resolution of haematuria. Pre-operative hemoglobine was 13,5 g/dl and after surgery was 12,7 g/dl. No bladder irrigation was required post-operatively. Urinary catheter was removed on the first postoperative day and the patient was discharged the same day. No further episodes of macrohematuria occurred during the six-months of follow-up. CONCLUSIONS: Thulium laser can succesfully coagulate bleeding spots in residual ureteral tissue. Source of Funding: none San Donato Milanese, Italy; Paderno Dugnano, Italy; San Donato Milanese, Italy© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e89-e89 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Claudia Signorini* More articles by this author Gloria Motta More articles by this author Damiano Vizziello More articles by this author Maria Chiara Clementi More articles by this author Sebastiano Nazzani More articles by this author Sebastiano Nazzani More articles by this author Oskar Blezien More articles by this author Robert Stubinski More articles by this author Pietro Acquati More articles by this author Stefano Picozzi More articles by this author Elisabetta Finkelberg More articles by this author Dario Ratti More articles by this author Martina Manfredi More articles by this author Luca Carmignani More articles by this author Expand All Advertisement PDF downloadLoading ...