Endometriosis of the Urinary Tract
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This paper reviews current surgical and medical management strategies for endometriosis, focusing on symptomatic relief, fertility, and techniques for invasive disease.
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Abstract
Management of endometriosis has always been based on symptomatic relief.1,2 Despite the fact that the disease seems to be endemic and that voluminous research has been performed in order to find a non-invasive cure, management remains centered around the use of surgical extirpation with medical placation.3 Although extensive efforts have been made in attempts at improving fecundity rates, results remain marginal.4,5 Neither medical therapy nor surgery alone or in combination produces significant improvement in pregnancy rates. However, for relief of pain both medical and surgical therapies have been employed with success although cure rates are not available. For invasive rectovaginal disease and large endometriomas, surgical therapy appears to be the only solution as medical therapy has demonstrated no efficacy in these areas.6,7Surgical therapy revolves around three basic techniques:1. Vaporization-laser, electrosurgical 2. Coagulation/ablation-laser, electrosurgical 3. Excision-laser, electrosurgery, scissors, harmonic scalpel.
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References (4)
- Bladder Endometriosis: Deep Infiltrating Endometriosis or Adenomyosis? via openalex
- Endometriosis of bladder via openalex
- The Occurrence of Endometrial Tissue in the Kidney. Case Report and Discussion via openalex
- W2167393377 via openalex
Cited by (13)
- Unusual case of upper urinary tract obstruction: a case report 2017
- Uronefrosis por endometriosis periureteral. 2016
- Laparoscopic management of moderate: Severe endometriosis 2014
- Diagnosis and Management of Bladder Endometriosis 2009
- Infiltrating Endometriosis of the Urinary Bladder Mimics Lower Segment Myoma of the Uterus 2005
- Endometriosis vesical: presentación de un caso 2004
- Endometriosis vesical: dos nuevos casos 2004
- BLADDER ENDOMETRIOSIS: CONSERVATIVE MANAGEMENT 2000
- Ureteric Obstruction Secondary to Endometriosis: Report of Three Cases with a Review of the Literature 1988
- Ureteral endometriosis in postmenopausal woman 1982
- Combined Vesical and Abdominal Endometriosis Following Hysterotomy: A Case Report 1977
- Renal Endometriosis Associated With Hematuria 1969
- Endometriosis Obstructing the Ureter 1967
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
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- unpaywall
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