Laparoscopic management of ureteral endometriosis

Scioscia M, Marco Scioscia, Angelo Molon, Molon A, Grosso G, Gaetano Grosso, Luca Minelli, Minelli L
Current opinion in obstetrics & gynecology · 2009 · vol. 21(4) , pp. 325–328 · doi:10.1097/gco.0b013e32832e0798 · PMID:19512927 · W2089420661
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Laparoscopic ureterostomy or ureterocystoneostomy for moderate-severe hydronephrosis due to ureteral endometriosis offers good results with low recurrence rates.

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Abstract

PURPOSE OF REVIEW: Severe endometriosis is a leading cause of infertility and pelvic pain and represents one of the most challenging cases in gynecology. Ureteral endometriosis is a rare entity that can lead to ureteral obstruction with subsequent hydroureter, dilatation of the renal pelvis till kidney failure. Laparoscopic management of these lesions is considered the treatment of choice. RECENT FINDINGS: A few studies offer new insights into the laparoscopic management of ureteral endometriosis and the most common surgical procedures are described. SUMMARY: In cases of moderate-severe hydronephrosis due to ureteral endometriosis, laparoscopic ureteral transection (ureterostomy or ureterocystoneostomy) provides good results with low recurrence rates.
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Minimally invasive gynecologic procedures: Edited by Colin J. Davis Laparoscopic management of ureteral endometriosis - Marco Scioscia - Angelo Molon - Gaetano Grosso - Luca Minelli Current Opinion in Obstetrics & Gynecology 21(4):p 325-328, August 2009. | DOI: 10.1097/GCO.0b013e32832e0798 Purpose of review Severe endometriosis is a leading cause of infertility and pelvic pain and represents one of the most challenging cases in gynecology. Ureteral endometriosis is a rare entity that can lead to ureteral obstruction with subsequent hydroureter, dilatation of the renal pelvis till kidney failure. Laparoscopic management of these lesions is considered the treatment of choice. Recent findings A few studies offer new insights into the laparoscopic management of ureteral endometriosis and the most common surgical procedures are described. Summary In cases of moderate–severe hydronephrosis due to ureteral endometriosis, laparoscopic ureteral transection (ureterostomy or ureterocystoneostomy) provides good results with low recurrence rates. Copyright © 2009 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Endometriosis Hydronephrosis Laparoscopy Ureteral Diseases Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Infertility, Female Infertility, Female Infertility, Female Laparoscopy Pelvic Pain Pelvic Pain Pelvic Pain Prognosis Recurrence Treatment Outcome

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