Endometriose

T. Pottek
In: Facharztwissen Urologie · 2014 · pp. 517–519 · doi:10.1007/978-3-642-44942-0_49 · W4243294275
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Endometriosis is defined as endometrium outside the uterus causing cyclical complaints, with urogenital involvement occurring in 10-20% of women, often affecting the bladder.

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This paper/chapter describes endometriosis as the presence of endometrial tissue outside the uterus that can cause cycle-dependent complaints, focusing particularly on urogenital involvement where 10–20% of women of reproductive age are affected and the bladder is most commonly involved. It reports that many affected women have no symptoms and that depending on lesion location, cycle-related findings may include macroscopic hematuria or ureter/nire colic, while “typical” symptoms such as dysmenorrhea are not obligatory; non-cycle-dependent urinary obstruction, pollakiuria, and pelvic pain can also occur. The chapter outlines a diagnostic pathway using imaging and histology (with possible lesion destruction) followed by initial hormonal therapy with gestagens, danazol, or LHRH analogs and, later if needed, reconstruction of affected organs, noting that diagnosis is based on imaging and histology. Relevance to endometriosis: This paper is centrally about endometriosis—specifically urogenital endometriosis and its clinical presentation, diagnosis, and treatment overview.

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Zusammenfassung Als Endometriose wird das Vorhandensein von Endometriumepithel außerhalb des Uterus bezeichnet, was zyklusabhängige Beschwerden verursacht. Eine urogenitale Endometriose weisen 10–20% der gebärfähigen Frauen auf, wobei meist die Blase betroffen ist. Bei vielen dieser Frauen jedoch treten keine Symptome auf. Zyklusabhängig kommt es bei Beschwerden je nach Lokalisation der Endometriose zu Makrohämaturie, Harnleiter-/Nierenkolik; „typische“ Symptome, wie Dysmenorrhö, sind nicht obligat. Unabhängig vom Zyklus können Harnstauung, Pollakisurie, Beckenschmerzen usw. auftreten. Nach bildgebender und histologischer Diagnostik, während der zugleich die Herde destruiert werden können, erfolgt zunächst eine hormonelle Therapie mit Gestagenen, Danazol oder LHRH-Analoga, später dann ggf. die Rekonstruktion betroffener Organe. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others Literatur Balasch J, Creus M, Fábregues F, Carmona F, Ordi J, Martinez-Roman S, Vanrell JA (1996) Visible and non-visible endometriosis at laparoscopy infertile and infertile women and in patients with chronic pelvic pain: a prospective study. Hum Reprod 11: 387–391 Carl PE (2003) Urologische Komplikationen der Endometriose. Urologe A 42(2): 255–62 Kuntz RM, Eichenauer R, Grosse G (1992) Diagnostik und Therapie der Endometriose des Ureters. Akt Urol 23: 186–192 Nezhat CR, Nezhat FR, Green B (1992) Laparoscopic treatment of obstructed ureter due to endometriosis by resection and ureteroureterostomy: a case report. J Urol 148: 865–868 Pinkert TC, Catlow CE, Straus R (1979) Endometriosis of urinary bladder in a man with prostatic carcinoma. Cancer 43: 1562 Shook TE, Nyberg LM (1988) Endometriosis of the urinary tract. Urology 31: 1–6 Umaria N, Olliff JF (2000) MRI appearances of bladder endometriosis. Br J Radiol 73: 733–736 Westney OL, Amundsen CL, Mc Guire EJ (2000) Bladder endometriosis: Conservative management. J Urol 163: 1814–1817 Yates-Bell AJ, Molland EA, Pryor JP (1972) Endometriosis of the ureter. Br J Urol 44: 58–67 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer-Verlag Berlin Heidelberg About this chapter Cite this chapter Pottek, T. (2014). Endometriose. In: Schmelz, HU., Sparwasser, C., Weidner, W. (eds) Facharztwissen Urologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44942-0_49 Download citation DOI: https://doi.org/10.1007/978-3-642-44942-0_49 Published: Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-44941-3 Online ISBN: 978-3-642-44942-0 eBook Packages: Medicine (German Language)

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