A Report of 8 Cases for Diagnosis and Treatment of Ureteral Endometriosis

Objective To study and improve the diagnosis and treatment of ureteral endometriosis. Methods The clinical data of 8 ureteric endometriosis were retrospectively analyzed. Their mean age was 38 years (range,32～49 years).Of the 8 cases,3 cases were on the left side,5 on the right.All the cases were subjected to ultrasound and intravenous urogram (IVU) as preoperative diagnosis.B- ultrasound indicated upper urinary tract dilation and hydrops in all cases,and IVU also showed upper urinary tract dilation and hydrops in 8 cases.All the cases were treated surgically.One was treated with operation of resecting pelvic cavity masses and lysis of adhesions of ureter, and was detained with Double- J stent.5 cases was treated with resection of ureteropathy affection and ureterovesicostomy. 1 was treated with ureteroscopy and detaining with Double- J stent. Results Pathological findings confirmed the diagnosis of ureteral endometriosis.During the follow- up period of 12 months to 7 years for 8 cases,all symptoms were vanished.All cases were subjected to regular B- ultrasound and IVU.Nephrohydrosis was reduced.Conclusion Ureteral endometriosis is lack of typically clinical manifestation.Therapeutic principle is to relieve obstruction of ureter and treat pelvic endometriosis immediately while being diagnosed.