Ureteral endometriosis

Michelle Nisolle, Inigo Lopez De La Osa Escribano, Jean Squifflet, Jacques Donnez
In: Gynaecological Endoscopy · 2001 · vol. 10(2) , pp. 95–97 · doi:10.1046/j.1365-2508.2001.00424.x · W3123033269
article OA: closed CC0 ⤵ 2 in-corpus citations
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This prospective study found a 4.5% prevalence of ureteral endometriosis in patients with rectovaginal adenomyotic nodules, with laparoscopic ureterolysis successfully treating most cases of ureteral stenosis and ureterohydronephrosis.

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Abstract

Objective To evaluate the prevalence of ureteral endometriosis and to describe the laparoscopic surgery. Design This is a prospective study. Results In a series of 306 patients with rectovaginal adenomyotic nodules, preoperative intravenous pyelography revealed ureteral stenosis with ureterohydronephrosis in 14 cases (4.5%). In four patients, complete ureteral stenosis was observed, and kidney scintigraphy revealed damaged kidney parenchymal function varying from 18% to 42%. Laparoscopic ureterolysis was possible in 13 women, and a significant postoperative decrease in ureterohydronephrosis was noted. In only one case, ureteral resection and uretero‐ureterostomy were needed. Conclusion In cases of rectovaginal adenomysois more than 3 cm, the prevalence of ureteral endometriosis is high. The preoperative IVP is needed before laparoscopic ureterolysis which will avoid the silent loss of real function.

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Condition tags

endometriosis

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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.

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