Endourology & Laparoscopy

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182: 2748-52 PURPOSE: We report the clinical characteristics and the principles of laparoscopic management of ureteral endometriosis at our institution. MATHERIAL AND METHODS: We retrospectively reviewed the charts of patients with ureteral endometriosis. RESULTS: Preoperatively 97% of patients complained of pain but only a third had urinary symptoms. The left ureter was affected in 64% of cases and disease was bilateral in 10%. Four patients had hydroureter and 2 had hydronephrosis. CONCLUSIONS: To our knowledge this report represents the largest series of laparoscopically treated, pathologically confirmed ureteral endometriotic cases to date. It confirms that laparoscopic diagnosis and management of ureteral endometriosis are safe and efficient. All patients who undergo laparoscopy for endometriosis should be evaluated for possible ureteral involvement regardless of the presence or absence of urinary symptoms, or prior radiological evaluation since undiagnosed ureteral disease may result in loss of renal function. Editorial Comment The authors described the largest series of ureteral endometriosis managed laparoscopically. The authors’ recommendations are very useful depicting a practical algorithm to evaluate and manage this not very common pathology. In case of non-dilated ureter, one may even consider placement of stents if ureter is compromised (dusky ureteral color, poor peristaltic activity and devascularized serosa). The aim of treatment should be to remove all endometriotic lesions, relieve ureteral compression and avoid recurrence while minimizing the morbidity associated with radical surgery. Moreover, the laparoscopic approach is feasible and allows the surgeon to treat optimally this disease. Dr. Fernando J. Kim Chief of Urology, Denver Health Med. Ctr. Associate Professor, Univ. Colorado Health Sci. Ctr. Director of Minimally Invasive Urol. Oncology, UCHSC Denver, Colorado, USA E-mail: [email protected] Publication Dates Publication in this collection 15 Jan 2010 Date of issue Dec 2009 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Authorship .author-card { border-bottom: 1px solid #ccc; padding: 1rem 0; } .author-card:last-child { border-bottom: 0px; } .author-name { font-weight: 600; } .orcid-button { padding-left: 2.5rem; } .modal-body { padding-bottom: 3rem; } .orcid-button::before { content: ""; position: absolute; background-image: url(https://ds.scielo.org/img/logo-orcid.svg); background-repeat: no-repeat; background-size: 1.5em auto; background-position: .5em center; display: block; width: 60px; height: 60px; top: -10px; left: 0; } person Fernando J. Kim SCIMAGO INSTITUTIONS RANKINGS How to cite link copy function currentDate() { var today = new Date(); var months = ['January', 'February', 'March', 'April', 'May', 'June', 'July', 'August', 'September', 'October', 'November', 'December'] today.setTime(today.getTime()); return today.getDate() + " " + months[today.getMonth()] + " " + today.getFullYear(); } var citation = 'Kim, Fernando J.. Endourology & Laparoscopy. International braz j urol [online]. 2009, v. 35, n. 6 [Accessed CURRENTDATE], pp. 733. Available from: . Epub 15 Jan 2010. ISSN 1677-6119. https://doi.org/10.1590/S1677-55382009000600013.'.replace('CURRENTDATE', currentDate()); document.getElementById('citation').innerHTML = citation; document.getElementById('citationCut').value = citation.replace('<', ' "); more_horiz Ferramentas do artigo file_download PDFs show_chart Métricas image Figuras e tabelas translate Versões e traduções link Como citar este artigo article Artigos relacionados location_on Sociedade Brasileira de Urologia Rua Bambina, 153, 22251-050 Rio de Janeiro RJ Brazil, Tel. +55 21 2539-6787, Fax: +55 21 2246-4088 - Rio de Janeiro - RJ - Brazil E-mail: [email protected] rss_feed Acompanhe os números deste periódico no seu leitor de RSS Versão para download de PDF PDF Inglês Artigos relacionados Lista de links para artigos relacionados. Os links abrem em nova aba. 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