Diagnosis and treatment of ureteral endometriosis

Objectives: To study the diagnosis and treatment of ureteral endometriosis.Methods: We carried out a retrospective review of 35 female patients at the average age of 39±1.5(25~55) with ureteral endometriosis for 1.3±0.6(1-4) years.18 of 35 of ureteral endometriosis were in the left side and 17 cases were the in right side.The symptoms featured waist and abdominal discomfort.B-ultrasound indicated pelvis separation 2.5±0.2(2.0~4.5)cm and ureteral expansion 1.3±0.1(1.0~2.0)cm.A1l cases were treated surgically.The pathologic result confirmed ureteral endometriosis.After the operation,testosterone and goserelin were used for 0.5-1 year.Results: Postoperative pathological findings confirmed the diagnosis of endometriosis.All patients were followed for 3.8±0.9(1-5)years.Two cases had ureteral endometriosis a second time in 2 years.They received the treatment of ureteral stent,testosterone and goserelin.Conclusions: Endometriosis is difficult to diagnose due to non-specific symptoms in the early phase.A definite diagnosis should be carried out after operation.Surgical treatment is effective.Medication after the surgery can reduce the reoccurrence rate.