Laparoscopic Management of Ureteral Endometriosis: The Stanford University Hospital Experience With 96 Consecutive Cases

D Bosev, Dorian Bosev, Linda M Nicoll, Lisa Bhagan, Madeleine Lemyre, Christopher K Payne, Harcharan Gill, Camran Nezhat
Journal of Urology · 2009 · vol. 182(6) , pp. 2748–2752 · doi:10.1016/j.juro.2009.08.019 · PMID:19837436 · W1990198645
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study reviewed 96 laparoscopic cases of ureteral endometriosis, finding that pain was the predominant symptom, and recommends evaluation for ureteral involvement in all endometriosis patients.

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Abstract

PURPOSE: We report the clinical characteristics and the principles of laparoscopic management of ureteral endometriosis at our institution. MATERIALS 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.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ureteral Diseases Adult Endometriosis Female Hospitals Humans Middle Aged Retrospective Studies Ureteral Diseases Young Adult

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.

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Cited by (50)

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