Urologic Involvement

Endometriosis of the urinary tract (UTE) is rare, but has great impact on the patient. An infestation of the urinary bladder has typical symptoms and can be diagnosed relatively well and reliably. Depending on the size and location of the lesions, conservative and surgical therapy are usually good and have few complications. Involvement of the ureter, on the other hand, can be very complex both in diagnosis, due to the absence of symptoms, and in therapy, due to the threat of loss of kidney function. Ureteral endometriosis is often accompanied by severe deep endometriosis (DE). Both diagnostics and surgical therapy require great competence of the specialists to be involved. Differentiated transvaginal sonography and MRI allow an exact localization of the lesions in order to plan and carry out the best therapy. Surgical therapy, whether conventional or robot-assisted, provides an effective and permanent solution in most cases.