Surgical management of bilateral ureteral endometriosis

Yee DS, David S Yee, Allan M Shanberg, Shanberg AM, Ngo AT, Anh T Ngo, Anh Thuc Ngo, Baghdassarian R, Ruben Baghdassarian
International urology and nephrology · 2006 · vol. 38(3-4) , pp. 469–471 · doi:10.1007/s11255-006-0101-7 · PMID:17115290 · W2051389342
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

This case describes a patient with bilateral ureteral endometriosis who underwent successful ureteroneocystostomy with psoas hitches after failure of hormone therapy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This paper reports a case of bilateral ureteral endometriosis in a 33-year-old woman with advanced endometriosis and recurrent pyelonephritis, presenting with high-grade bilateral ureteral obstruction at the pelvic inlet after hormone therapy failure. The authors describe surgical management including supracervical hysterectomy with bilateral salpingo-oophorectomy, ureterolysis, and ureteroneocystostomy with bilateral psoas hitches plus ureteral stent placements. They state that surgical therapy is reserved for advanced disease and identify complete mobilization of the bladder anteriorly and laterally as a key operative point for successful psoas hitch ureteral reimplantation. This paper is centrally about endometriosis — it specifically details surgical management of rare bilateral ureteral endometriosis causing obstructive uropathy.

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Abstract

Ureteral endometriosis is a rare disease that typically is unilateral. Endometriosis involving both ureters and surgical management after hormone therapy failure has seldom been described. We describe a patient with bilateral ureteral endometriosis who underwent ureteroneocystostomy with psoas hitches of both ureters. A 33-year-old woman with advanced endometriosis and recurrent pyelonephritis was found to have high-grade bilateral ureteral obstruction at the pelvic inlet from ureteral endometriosis. The patient subsequently underwent a supracervical hysterectomy with bilateral salpingo-oophorectomy, ureterolysis, and ureteroneocystostomy with psoas hitches and ureteral stent placements. Surgical therapy is reserved for advanced disease with the optimal choice being a ureteral reimplantation with a psoas hitch. The key operative point for a successful psoas hitch ureteral reimplantation is completely mobilizing the bladder anteriorly and laterally.
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Abstract

Ureteral endometriosis is a rare disease that typically is unilateral. Endometriosis involving both ureters and surgical management after hormone therapy failure has seldom been described. We describe a patient with bilateral ureteral endometriosis who underwent ureteroneocystostomy with psoas hitches of both ureters. A 33-year-old woman with advanced endometriosis and recurrent pyelonephritis was found to have high-grade bilateral ureteral obstruction at the pelvic inlet from ureteral endometriosis. The patient subsequently underwent a supracervical hysterectomy with bilateral salpingo-oophorectomy, ureterolysis, and ureteroneocystostomy with psoas hitches and ureteral stent placements. Surgical therapy is reserved for advanced disease with the optimal choice being a ureteral reimplantation with a psoas hitch. The key operative point for a successful psoas hitch ureteral reimplantation is completely mobilizing the bladder anteriorly and laterally. Similar content being viewed by others

References

Cullen TS (1917) Adenomyoma of the tect-vaginal septum. Bull Johns Hopkins Hosp 28:343–349 Gehr TWB, Sica DA (1987) Case report and review of the literature: ureteral endometriosis. Am J Med Sci 294:346–352 Esen T, Akinci M, Ander H, Tunc M, Tellaloglu S, Narter I (1990) Bilateral ureteric obstruction secondary to endometriosis. Br J Urol 66:98–99 Liffshitz S, Buchsbaum HJ (1982) Urinary tract involvement by benign and malignant urologic disease. In: Buchsbaum HJ, Schmidt JD (eds) Gynecologic and obstetric urology. 2nd edn. Philadelphia: WB Saunders, p 406 Stillwell TJ, Kramer SA, Lee RA (1986) Endometriosis of ureter. Urology 28:81–85 Stanley KE Jr, Utz DC, Dockerty MB (1965) Clinically significant endometriosis of the urinary tract. Surg Gynecol Obstet 120:491–498 Yohannes P (2003) Ureteral endometriosis. J Urol 170:20–25 Takeuchi S, Minoura H, Toyoda N et al (1997) Intrinsic ureteric involvement by endometriosis: a case report. J Obstet Gynaecol Res 23:273–276 el Kahder E, Guille F, Patard JJ et al (1998) Ureteral reimplantation on psoas bladder: long term results. Acta Urol Belg 66:15–20 Nezhat CH, Malik S, Nezhat F et al (2004) Laparoscopic ureteroneocystostomy and vesicopsoas hitch for infiltrative endometriosis. JSLS 8:3–7 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Yee, D.S., Shanberg, A.M., Ngo, A.T. et al. Surgical management of bilateral ureteral endometriosis. Int Urol Nephrol 38, 469–471 (2006). https://doi.org/10.1007/s11255-006-0101-7 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s11255-006-0101-7

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ureteral Diseases Adult Endometriosis Female Humans Ureteral Diseases

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