Recurrent pelvic endometriosis and bilateral ureteric obstruction associated with hormone replacement therapy

Brough RJ, R. J. Brough, K. O'Flynn, O'Flynn K
BMJ (Clinical research ed.) · 1996 · doi:10.1136/bmj.312.7040.1221 · PMID:8634571 · PMC2350960
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This report describes recurrent pelvic endometriosis and bilateral ureteric obstruction associated with hormone replacement therapy, citing historical literature on urologic complications of endometriosis.

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The article presents a case report detailing recurrent pelvic endometriosis and bilateral ureteric obstruction in a patient undergoing hormone replacement therapy. The authors highlight that exogenous estrogen can stimulate the growth of residual endometrial tissue, leading to significant urologic complications even after surgical removal of the uterus and ovaries. This clinical presentation underscores the potential risks associated with hormone replacement therapy in women with a history of endometriosis, particularly regarding the development of obstructive uropathy. This paper is centrally about endometriosis — specifically illustrating how hormone replacement therapy can trigger recurrent disease and severe urinary tract obstruction.

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Full text PDFImages in this article Selected References These references are in PubMed. This may not be the complete list of references from this article. - BALL T. L., PLATT M. A. Urologic complications of endometriosis. Am J Obstet Gynecol. 1962 Dec 1;84:1516–1521. doi: 10.1016/s0002-9378(16)35800-8. [DOI] [PubMed] [Google Scholar] - Barbieri R. L. Etiology and epidemiology of endometriosis. Am J Obstet Gynecol. 1990 Feb;162(2):565–567. doi: 10.1016/0002-9378(90)90430-f. [DOI] [PubMed] [Google Scholar] - Dick A. L., Lang D. W., Bergman R. T., Bhatnagar B. N., Selvaggi F. P. Postmenopausal endometriosis with ureteral obstruction. Br J Urol. 1973 Apr;45(2):153–155. doi: 10.1111/j.1464-410x.1973.tb12132.x. [DOI] [PubMed] [Google Scholar] - Kane C., Drouin P. Obstructive uropathy associated with endometriosis. Am J Obstet Gynecol. 1985 Jan 15;151(2):207–211. doi: 10.1016/0002-9378(85)90013-4. [DOI] [PubMed] [Google Scholar] - Langmade C. F. Pelvic endometriosis and ureteral obstruction. Am J Obstet Gynecol. 1975 Jun 15;122(4):463–469. doi: 10.1016/s0002-9378(16)33538-4. [DOI] [PubMed] [Google Scholar] - Manyonda I. T., Neale E. J., Flynn J. T., Osborn D. E. Obstructive uropathy from endometriosis after hysterectomy and oophorectomy; two case reports. Eur J Obstet Gynecol Reprod Biol. 1989 May;31(2):195–198. doi: 10.1016/0028-2243(89)90182-2. [DOI] [PubMed] [Google Scholar] - Moore J. G., Hibbard L. T., Growdon W. A., Schifrin B. S. Urinary tract endometriosis: enigmas in diagnosis and management. Am J Obstet Gynecol. 1979 May 15;134(2):162–172. doi: 10.1016/0002-9378(79)90881-0. [DOI] [PubMed] [Google Scholar] - Wheeler J. M., Malinak L. R. Recurrent endometriosis: incidence, management, and prognosis. Am J Obstet Gynecol. 1983 Jun 1;146(3):247–253. doi: 10.1016/0002-9378(83)90744-5. [DOI] [PubMed] [Google Scholar]

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Estrogen Replacement Therapy Ethinyl Estradiol Ureteral Obstruction Adult Endometriosis Endometriosis Estrogen Replacement Therapy Ethinyl Estradiol Female Humans Recurrence Ureteral Obstruction Ureteral Obstruction

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