Laparoscopic Management of Genitourinary Endometriosis
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Abstract
We treated 17 patients with severe endometriosis involving the genitourinary tract. Eight women presented with persistent right or left flank pain, two presented with known ureteral obstruction, and five presented with urinary frequency and burning, and/or hematuria with their periods. Presented are the results of laparoscopic management in these patients. We performed segmental bladder resection in six patients and ureteral resection and reanastomosis in two. Nine additional patients underwent partial resection of the ureteral wall for complete removal of endometrial implants. The ureter was repaired with 4-0 PDS in seven patients and a stent was left in place for 4 to 6 weeks. Two required only a stent due to the small size of the ureterotomy. The postoperative course of these patients was uneventful. Following ureteral repair/reanastomosis, all women underwent an intravenous pyelogram at follow-up, and normal bilateral excretion was demonstrated. Cystoscopy revealed no abnormal findings in five patients who had undergone partial bladder resection. All patients reported significant pain relief or complete resolution of symptoms. Operative laparoscopy can be safely used to achieve relief from severe symptomatic endometriosis of the genitourinary tract.
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Cited by (7)
- Genital and Extragenital Endometriosis: Video-Laparoscopic with Robotic Assistance 2021
- Localisations urinaires de l’endométriose. Résultats et modalités techniques de la prise en charge chirurgicale. RPC Endométriose CNGOF-HAS 2018
- Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness 2012
- Outcomes of Surgical Management of Deep Infiltrating Endometriosis of the Ureter and Urinary Bladder 2011
- Surgical Therapies: Robotics and Endometriosis 2011
- Tratamiento laparoscópico de la endometriosis vesical 2003
- Ureteric obstruction with mucocoele of the appendix due to endometriosis 2001
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noordeloos 2009062
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