Discuss the choice of different surgical procedures for ureteral endometriosis

Objective To discuss the appropriate choice of different surgical procedures for ureteral endometriosis.Methods We performed a retrospective analysis of 23 cases of ureteral endometriosis with histopathological results from 2002 to 2011.Results In these cases,the treatments consisted of ureterolysis in 3 cases,ureterocystoneostomy in 6,partial ureteral resection and end-to-end ureteral anastomosis in 12,and endoscopic resection of ureteral endometriosis lesion in 2.All the patients pathologic results were of endometriosis.Adjuvant hormonal therapy was applied to 8 postoperative cases.For the 20 cases with follow-up,no recurrence was found.Conclusions Ureteral endometriosis is an uncommom disease.For patients of ureteral endometriosis with hydronephrosis,surgical procedures should be accepted as the first clinical therapeutic choice,whilst hormonal therapy as an adjuvant management.For patients with mild ureteral obstruction,the recommended management is ureterolysis;while for those with moderate and severe ureteral obstruction,the recommended procedure is partial ureteral resection.