Prise en charge chirurgicale de l’endométriose de l’appareil urinaire : à propos de 12 cas

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This case series describes the surgical management of urinary tract endometriosis in 12 patients, detailing surgical techniques and outcomes.

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Abstract

ObjectivesOur study aimed at evaluating, retrospectively, the outcome of the surgical management of urinary tract endometriosis.Patients and methodsTwelve women with a mean age of 36,4 were recruited between 1994 and 2007. They all had a histologically-proven and surgically-treated endometriosis of the urinary tract.ResultsSeven of them had a unilateral ureteric localization, two had a bilateral ureteric localization and three had a vesical localization. One patient with bladder nodules underwent a partial cystectomy and the two other patients with bladder localization underwent a transurethral resection. Out of the nine patients who had a ureteric localization of endometriosis, seven had a ureterectomy and re-implantation with bladder psoas hitching and had no recurrence.ConclusionsOur experience showed that ureterectomy and re-implantation with bladder psoas hitching is probably the best way of preventing recurrences in the case of urethral endometriosis. In the case of bladder endometriosis, transurethral resection did not appear as the most effective treatment although it remains an acceptable alternative, especially as far as premenopausal women or young women wishing to conceive are concerned.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ureteral Diseases Urinary Bladder Diseases Adult Endometriosis Female Humans Recurrence Retrospective Studies Ureteral Diseases Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (28)

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