Diagnosis and treatment of ureteral endometriosis (a report of 7 cases)

Objective To study and improve the diagnosis and treatment of ureteric endometriosis.Methods The clinical data of 7 cases of ureteric endometriosis were retrospectively analyzed.Their mean age was 40 years (range,32～45 years).Of the 7 cases,4 cases were on the left side,2 on the right,and 1 on the bilateral.All the cases were subjected to ultrasound and intravenous urogram (IVU) as preoperative diagnosis.B-ultrasound indicated upper urinary tract dilation and hydrops in all cases,and IVU showed poor image in 3cases and upper urinary tract dilation and hydrops in 4.All the cases were treated surgically.One was treated with operation of resecting pelvic cavity masses and lysis of adhesions of ureter,and was detained with Double-J stent.Among the 6 cases with resection of ureteropathy affection,1 was treated with end-to-end ureteroureterostomy,and 5 with ureterovesicostomy.Results Pathological findings confirmed the diagnosis of ureteral endometriosis.During the follow-up period of 10 months to 22 years for 7 cases,all symptoms were vanished.All cases were subjected to regular B-ultrasound and IVU.Nephrohydrosis was improved.Conclusion Ureteral endometriosis was lack of typically clinical manifestation.Therapeutic principle is to relief obstruction of ureter and treat pelvic endometriosis.If diagnosis and treatment can be done punctually,nephrohydrosis of most patients can be released.