Silent Loss of Kidney Seconary to Ureteral Endometriosis

Camran Nezhat, Chandhana Paka, M. Gomaa, Mona Gomaa, Erica Schipper
JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2012 · vol. 16(3) , pp. 451–455 · doi:10.4293/108680812x13462882736213 · PMID:23318072 · PMC3535807 · W1966213238
article OA: gold CC0 ⤵ 44 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reports on three laparoscopic surgical cases of ureteral endometriosis leading to kidney atrophy and function loss, highlighting the condition's potential for silent renal damage.

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Abstract

BACKGROUND: Ureteral endometriosis is a serious localization of disease burden that can lead to urinary tract obstruction, with subsequent hydroureter, hydronephrosis, and potential kidney loss. Diagnosis is elusive and relies heavily on clinical suspicion as ureteral endometriosis can occur with both minimal and extensive disease. Surgical technique to treatment varies, but the goal is to salvage renal function and decrease disease burden. CASE DESCRIPTIONS: We describe 3 cases in which there was documentation of renal atrophy and function loss with subsequent workup and surgical intervention. RESULTS: The cases illustrate varying surgical approaches tailored to localization of ureteral endometriosis. All cases were carried out laparoscopically. CONCLUSION: Ureteral endometriosis, albeit rare, can be complicated by potential loss of renal function. Clinical suspicion and preoperative assessment may help with diagnosis and allows for a multidisciplinary preconsultation. Laparoscopic surgical approach is based on extent of disease and localization and can be carried out successfully in the hands of a highly experienced laparoscopic surgeon.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hydronephrosis Laparoscopy Nephrectomy Ureter Ureteral Diseases Adult Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Laparoscopy Magnetic Resonance Imaging Tomography, X-Ray Computed Ureteral Diseases Ureteral Diseases

Citation neighborhood

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.

References (40)

Cited by (44)

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