Bilateral ureteric obstruction from pelvic endometriosis

Howard Woo, R. J. Millard, Gerard Wain
In: International Urogynecology Journal · 1994 · vol. 5(6) , pp. 363–365 · doi:10.1007/bf00418701 · W1979675952
article OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This case report describes a patient with bilateral ureteric obstruction from pelvic endometriosis, presenting with acute hypertensive retinopathy and renal failure, who was treated surgically.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reports a clinical case of bilateral ureteric obstruction attributed to pelvic endometriosis, presenting with acute hypertensive retinopathy and renal failure. The authors describe surgical management with ureterolysis and omental wrapping, along with total hysterectomy and salpingo-oophorectomy, noting that nephrectomy was not done for the non-functioning kidney because the obstruction was relieved. A key caveat emphasized is the risk of recurrent symptomatic disease after conservative surgery for pelvic endometriosis, requiring long-term follow-up with attention to upper-tract monitoring by renal ultrasound. This paper is centrally about endometriosis — specifically, bilateral ureteric obstruction from pelvic endometriosis and its surgical management and follow-up implications.

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endometriosis

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