Ureteral endometriosis

Paulos Yohannes, Yohannes P
Journal of Urology · 2003 · vol. 170(1) , pp. 20–25 · doi:10.1097/01.ju.0000054836.32660.9e · PMID:12796637 · W4241180767
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This review of ureteral endometriosis covers its pathophysiology, presentation, and treatment options, noting diagnosis requires high suspicion and management can involve hormones or surgery.

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Abstract

PURPOSE: This review discusses the pathophysiology, presentation, and different minimally invasive medical and surgical treatment options for ureteral endometriosis. MATERIALS AND METHODS: A comprehensive literature review of reports on the diagnosis and management of ureteral endometriosis was performed using MEDLINE. RESULTS: Ureteral endometriosis is a rare disease. Most cases present with silent obstruction, as opposed to cyclical hematuria. The diagnosis of ureteral endometriosis requires a high index of suspicion. A variety of diagnostic tests can help identify the extent of disease and the degree of renal function on the side of ureteral involvement. CONCLUSIONS: Ureteral endometriosis can be treated with hormones or surgical intervention. While surgery is reserved for hormone refractory cases and obstruction associated with extensive scarring, the majority of cases can be managed with hormones only. A combination of hormones and surgery is also effective. Surveillance for obstructive uropathy with periodic noninvasive monitoring of kidney function is currently recommended for all patients with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Danazol Danazol Danazol Estrogen Antagonists Estrogen Antagonists Estrogen Antagonists Female Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Humans Tomography, X-Ray Computed Tomography, X-Ray Computed

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (58)

Cited by (50)

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License: CC0 · commercial use OK