Cyclical hematuria-ureteral endometriosis: a case report

Sindura Ganga Ravula, Harish Shetty, Aparna Rajesh
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2018 · vol. 7(4) , pp. 1648 · doi:10.18203/2320-1770.ijrcog20181373 · W2794791198
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes cyclical hematuria caused by ureteral endometriosis, a rare disorder often presenting with non-specific symptoms necessitating high suspicion for diagnosis and treatment ranging from hormonal therapy to surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper is a case report describing cyclical hematuria attributed to hematuria-ureteral endometriosis, highlighting renal/ureteral involvement in a rare presentation. The authors report high-level diagnostic and clinical context (including radiologic support for nonspecific symptoms) and note that while medical options such as progestin or anti-aromatase therapy have been used in early cases, most cases require surgical management, either laparoscopic or via laparotomy. The main limitation is that it is a single case report, so true incidence and generalizable conclusions about diagnosis or treatment effectiveness are not established. This paper is centrally about endometriosis — specifically cyclical hematuria due to ureteral endometriosis causing urinary tract and renal involvement.

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Abstract

Little attention has been paid for the renal involvement in endometriosis, a rare and silent disorder which ultimately lead to renal failure. Involvement most commonly may be limited to single ureter (left one) and it is usually involvement extrinsically. Although cases have been reported in the literature, true incidence of ureteral involvement is still not known. The diagnosis is difficult as the disease has non-specific symptoms. Only high index of suspicion with radiological support would be helpful in early diagnosis. Early cases may be benefited with progestin or Anti-aromatase therapy, most cases need surgery, either laparoscopically or laparotomy.
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Cyclical hematuria-ureteral endometriosis: a case report DOI: https://doi.org/10.18203/2320-1770.ijrcog20181373Keywords: Endometriosis, Hematuria, Hydronephrosis, Ureter, UreteroscopyAbstract Little attention has been paid for the renal involvement in endometriosis, a rare and silent disorder which ultimately lead to renal failure. Involvement most commonly may be limited to single ureter (left one) and it is usually involvement extrinsically. Although cases have been reported in the literature, true incidence of ureteral involvement is still not known. The diagnosis is difficult as the disease has non-specific symptoms. Only high index of suspicion with radiological support would be helpful in early diagnosis. Early cases may be benefited with progestin or Anti-aromatase therapy, most cases need surgery, either laparoscopically or laparotomy. Metrics References Hornstein, M. Leuprolide Acetate Depot and Hormonal Add-Back in Endometriosis: A 12-Month Study. Obstet & Gynecol. 1998;91(1),16-24. Nezhat C, Nezhat F, Nezhat CH, Nasserbakht F, Rosati M, Seidman DS. Urinary tract endometriosis treated by laparoscopy. Fertility and sterility. 1996;66(6):920-4. Body, G. Muteganya, D. Descamps, P. Janin, P. Nivet, H. & Lansac, J. Ureteral endometriosis revealed by an acute renal failure. Eur J Obstet Gynecol Reprod Biol. 1996;67(1),53-57. Yohannes, P. Ureteral Endometriosis. J Urol. 2003; 170(1),20-25. Pérez, M., Bazán, A., Alonso Dorrego, J., Hernández, A., de Francisco, M., & Hernández, M. et al. Urinary Tract Endometriosis: Clinical, Diagnostic, and Therapeutic Aspects. Urology. 2009; 73(1),47-51. Takeuchi, S., Minoura, H., Toyoda, N., Ichio, T., Hirano, H., & Sugiyama, Y. Intrinsic Ureteric Involvement by Endometriosis: A Case Report. J Obstet Gynaecol Res,1997;23(3),273-276. el Khader k, Guille F, Patard J, Mhidia A, Ziade J, Manunta, A. (1998). Ureteral reimplantation on psoas bladder: long-term results. Acta Urol Belg, 66:15.

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