[Urinary diversion in a case of bilateral ureteral endometriosis]

Masayuki Tasaki, Tasaki M, Michihiro Suwa, Suwa M, Imai T, Tomoyuki Imai
Nihon Hinyokika Gakkai zasshi. The japanese journal of urology · 2006 · doi:10.5980/jpnjurol1989.97.664 · PMID:16768148
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⚙ AI-generated summary by claude@2026-06, 2026-06-11 ⓘ

This paper describes a case of bilateral ureteral endometriosis causing hydronephrosis, which was treated with uretero-ureterostomy and ureteral reimplantation, leading to improved renal function.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper reports a single 46-year-old woman with bilateral ureteral endometriosis presenting with facial edema and markedly elevated blood urea nitrogen and creatinine. Diagnostic workup included retrograde urography showing bilateral hydronephrosis with distal ureteral obstruction, MRI showing a left ovarian cyst, and CA125 elevation, with diagnosis confirmed by exploratory laparotomy and characterized as extrinsic-type ureteral endometriosis. After 16 months of gonadotropin-releasing hormone analogue therapy and ureteral dilation with catheter, she underwent end-to-side ureteroureterostomy with ureteral reimplantation (psoas hitch), and bilateral hydronephrosis and renal function improved following surgery, with the main limitation being its nature as a single case report. This paper is centrally about endometriosis — it specifically describes bilateral ureteral endometriosis and its urinary tract management and outcomes.

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Abstract

Endometriosis of the urinary tract is uncommon. We report a case of bilateral ureteral endometriosis. A 46-years-old woman was presented with facial edema. The level of blood urea nitrogen and creatinine were 52 and 4.83 mg/dl respectively at the first examination. Retrograde urography demonstrated bilateral hydronephrosis with distal ureteral obstruction and MRI (magnetic resonance imaging) showed left ovarian cyst. CA125 level was 93 U/ml. We diagnosed the case as ureteral endometriosis by exploratory laparotomy. After 16 month of gonadotropin-releasing hormone analogue therapy and ureteral dilation with catheter, she underwent end-to-side uretero-ureterostomy with ureteral reimplantation (psoas hitch). Bilateral hydronephrosis and renal function were improved after the operation. The case was suspected of extrinsic type ureteral endometriosis.
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URINARY DIVERSION IN A CASE OF BILATERAL URETERAL ENDOMETRIOSIS 2006 Volume 97 Issue 4 Pages 664-667 Details Abstract Endometriosis of the urinary tract is uncommon. We report a case of bilateral ureteral endometriosis. A 46-years-old woman was presented with facial edema. The level of blood urea nitrogen and creatinine were 52 and 4.83mg/dl respectively at the first examination. Retrograde urography demonstrated bilateral hydronephrosis with distal ureteral obstruction and MRI (magnetic resonance imaging) showed left ovarian cyst. CA125 level was 93U/ml. We diagnosed the case as ureteral endometriosis by exploratory laparotomy. After 16 month of gonadotropin-releasing hormone analogue therapy and ureteral dilation with catheter, she underwent end-to-side ureteroureterostomy with ureteral reimplantation (psoas hitch). Bilateral hydronephrosis and renal function were improved after the operation. The case was suspected of extrinsic type ureteral endometriosis. © Japanese Urological Association Favorites & Alerts Recently viewed articles

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ureteral Diseases Urinary Diversion Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Middle Aged Ureteral Diseases Ureteral Diseases Ureteral Obstruction Ureteral Obstruction Ureteral Obstruction

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