Urinary tract endometriosis: Report of 2 cases and a review of the literature

Carlo Alberto Sepich, C A Sepich, Sepich CA, M Cecchi, Cecchi M, S Pampaloni, Pampaloni S, Notaro M, Maria Notaro, M Notaro, C Ippolito, Carmelo Ippolito, G L Pagni, Pagni GL, G Pagni, L Fiorentini, Fiorentini L
International urology and nephrology · 1997 · vol. 29(4) , pp. 433–436 · doi:10.1007/bf02551109 · PMID:9406000 · W2093721956
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

This paper presents two cases and a literature review concerning urinary tract endometriosis, a rare condition with difficult diagnosis and undefined therapy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

The paper reports two clinical cases of urinary tract endometriosis and provides a review of the existing literature, focusing on diagnosis and treatment challenges. Across these cases and prior reports, it emphasizes that urinary tract endometriosis is relatively rare, clinical signs are nonspecific, and diagnosis is therefore difficult, with therapy not being well defined in the literature. The authors’ major caveat is the limited evidence base inherent to case reports and a narrative review rather than prospective comparative studies. This paper is centrally about endometriosis — specifically urinary tract (e.g., bladder/ureter) endometriosis, where nonspecific presentation and uncertain management are highlighted.

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Abstract

Endometriosis of the urinary tract is a relatively rare condition. Since clinical signs are not specific the diagnosis is difficult and the therapy is not well defined. Two cases and a review of the literature are presented.
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Abstract

Endometriosis of the urinary tract is a relatively rare condition. Since clinical signs are not specific the diagnosis is difficult and the therapy is not well defined. Two cases and a review of the literature are presented. Similar content being viewed by others

References

Williams, T. J.: The role of surgery in the management of endometriosis.Mayo Clin. Proc., 50, 198 (1975). Resnick, M. I., Kursh, E. D.: Extrinsic ureteral obstruction. In: Walsh-Retik-Stamey-Vaughan (eds): Campbell's Urology. 6th edition. W. B. Saunders Company, Philadelphia 1992, pp. 453–549. Posner, M. P., Fowler, J. E. Jr., Meeks, G. R.: Vesical endometriosis 12 years after cesarean section.Urol., 44 (2), 285 (1994). Rossi, D., Cravello, L., Vaillant, J. L., Coulange, C., Rampal, M.: Vesical endometriosis after cesarean section (letter).Presse Medicale (Paris), 19 (7), 334 (1990). Buka, N. J.: Vesical endometriosis after cesarean section.Am. J. Obst. Gynecol., 158 (5), 1117 (1988). Al Izzi, M. S., Horton, L. W., Keller, J., Fawcett, D.: Malignant transformation in endometriosis of the urinary tract.Histopathology, 14 (2), 191 (1989). Vara, A. R., Ruzics, E. P., Moussabeck, O., Martin, D. C.: Endometrioid adenosarcoma of the bladder arising from endometriosis.J. Urol., 143 (4), 813 (1990). Aldrige, K. W., Burns, J. R., Singh, B.: Vesical endometriosis: A review and 2 case reports.J. Urol., 134 (3), 539 (1985). Foster, R. S., Rink, R. C., Mulcahy, J. J.: Vesical endometriosis: Medical or surgical treatment.Urol., 29 (1), 64 (1987). Kuo, H. C., Lin, F. S., Tsai, T. C.: Endometriosis of the urinary bladder: Report of a case. Taiwan I Hsue Hui Tsa Chih.J. Formosan Medical Association, 86 (12), 1303 (1987). Ferzly, G., Wenof, M., Giannakakos, A., Raboy, A., Albert, P.: Laparoscopic partial cystectomy for vesical endometrioma.J. Laparoscopic Surgery, 3 (2), 161 (1993). Nezhat, C. R., Nezhat, F. R.: Laparoscopic segmental bladder resection for endometriosis: A report of 2 cases.Obstet. Gynecol., 81 (5), 882 (1993). Schwartzwald, D., Mooppan, U. M., Ohm, H. K., Kim, H.: Endometriosis of bladder.Urol., 39 (3), 219 (1992). Ong, C. L., Tung, K. H.: Bladder endometriosis: 3 case reports and a review.Aust. N. Z. J. Surg., 61 (1), 81 (1991). Al Saleh, B. M. S.: Endometriosis: An unusual case of obstruction in duplex ureters.Br. J. Urol., 60, 469 (1987). Rivlin, M. E., Krueger, R. D., Wiser, W. L.: Danazol in the management of ureteral obstruction secondary to endometriosis.Fertil. Steril., 44, 274 (1985). Godlewsky, G., Rovanet, J. P., Mares, D., Maubon, A., Louis, J. F., Delbos, O.: Endometriosis of urinary and digestive sites. Apropos of 7 cases.J. Radiol., 73 (8–9), 455 (1992). Makar, A. P., Wauters, H. A., Van Dijck, H. H., Van De Looverbosch, R. L., De Schijver, D. H.: Vesical endometriosis: Value of laparoscopy.Br. J. Urol., 72 (1), 115 (1993). Author information Authors and Affiliations Rights and permissions About this article Cite this article Sepich, C.A., Cecchi, M., Pampaloni, S. et al. Urinary tract endometriosis: Report of 2 cases and a review of the literature. International Urology and Nephrology 29, 433–436 (1997). https://doi.org/10.1007/BF02551109 Received: Issue date: DOI: https://doi.org/10.1007/BF02551109

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Urologic Diseases Adult Endometriosis Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Tomography, X-Ray Computed Urography Urologic Diseases Urologic Diseases Urologic Diseases

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