Ureteroscopic Excision of Distal Ureteral Endometriosis
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This case report demonstrates the feasibility of ureteroscopic excision for treating intrinsic distal ureteral endometriosis, a rare cause of obstructive urinary tract involvement.
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Abstract
Abstract Background: Endometriosis is the presence of endometrial tissue outside the uterus. Involvement of the urinary tract is uncommon; however, ureteral endometriosis (UE) is even more unusual. Most patients are clinically asymptomatic, which may lead to silent renal loss secondary to obstructive urinary tract endometriosis. Only a few cases of intrinsic UE treated by endoscopic excision have been reported. Case Presentation: We report a case of a 40-year-old woman with chronic right flank pain, with a right distal ureteral obstructive lesion. Ureteroscopy identified a lesion and ureteroscopic resection was performed. Histologic analysis revealed intrinsic UE. Conclusion: Ureteroscopic excision of intrinsic UE is a feasible option for treatment as we have shown in this case.
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Cites (3)
- Ureteral endometriosis: a systematic review of epidemiology, pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility 2018
- Ureteral Endometriosis with Obstructive Uropathy 2010
- Rare case of ureteral endometriosis presenting as hydronephrotic kidney. 2011
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References (3)
- Rare case of ureteral endometriosis presenting as hydronephrotic kidney. via openalex
- Ureteral endometriosis: a systematic review of epidemiology, pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility via openalex
- Ureteral Endometriosis with Obstructive Uropathy via openalex
Cited by (2)
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- europepmc
- last seen: 2026-08-16T09:21:09.727480+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:21:47.975235+00:00
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