Outcomes of Urinary Tract Endometriosis-Laparoscopic Treatment: A 10-Year Retrospective Study

Maria Alexandra Rocha, Mendes G, Gonçalo Mendes, Luis Ferreira Castro, Castro LF, Luís Ferreira de Castro, Mesquita S, Sofia Mesquita, Bernardo Teixeira, Madanelo M, Mariana Madanelo, J Vital, Vital JA, João Aragão Vital, Miguel Marques-Monteiro, Vinagre N, Nuno Vinagre, Beatriz Oliveira, M. Beatriz P.P. Oliveira, Oliveira B, Magalhães M, Martinha Magalhães, Príncipe P, Paulo Príncipe, Hélder Ferreira, Miguel Silva-Ramos, Miguel Silva‐Ramos
Journal of clinical medicine · 2023 · vol. 12(22) , pp. 6996 · doi:10.3390/jcm12226996 · PMID:38002610 · W4388532501
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This retrospective study of 55 patients found that laparoscopic treatment for urinary tract endometriosis, often presenting with dysmenorrhea, is safe and effective with a 10.9% recurrence rate, though no significant predictors of recurrence were identified.

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Abstract

INTRODUCTION: Urinary tract endometriosis (UTE), a rare manifestation, encompasses bladder and ureteral involvement. Surgical intervention is commonly recommended for UTE, though the optimal surgical approach remains a subject of debate. This study aims to report our centre's experience with UTE. METHODS: We conducted a retrospective cohort study of 55 patients who underwent surgical treatment for UTE at a single tertiary centre over a 10-year period (2012-2022). Patient data, including demographics, symptoms, intraoperative findings, and complications, were collected from medical records. Data were statistically analysed, and correlations were explored. RESULTS: The study population had a mean age of 37.11 years, with dysmenorrhea (89.1%) being the most common symptom. Bladder endometriosis was present in 27 cases, ureteral endometriosis in 25, and mixed-location in 3. Laparoscopy was the primary surgical approach, with multidisciplinary teams involving urologists. There were six patients with postoperative complications, and there were six (10.9%) recurrences of endometriosis. A positive correlation was found between age and recurrence, but no significant predictors of recurrence were identified in our analysis. CONCLUSIONS: Laparoscopic treatment of urinary endometriosis is safe and effective. Multidisciplinary collaboration plays a pivotal role in addressing this challenging condition.

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Condition tags

endometriosisbladder_endometriosisdysmenorrhea

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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