Diagnosis and treatment of ureteral endometriosis: study of 23 cases.

Dawei Mu, Mu D, Li X, Xuesong Li, Gaobiao Zhou, Zhou G, Guo H, Heqing Guo
Urology journal · 2014 · vol. 11(4) , pp. 1806–12 · PMID:25194080 · W1575331303
article OA: closed CC0 ⤵ 11 in-corpus citations
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This study analyzed 23 ureteral endometriosis cases, detailing diagnostic imaging modalities and surgical treatments including ureterolysis, resection and anastomosis, or endoscopic resection.

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Abstract

PURPOSE: To describe our experience in the diagnosis and treatment of 23 patients with ureteral endometriosis. MATERIALS AND METHODS: We performed a retrospective analysis of 23 cases of ureteral endometriosis with histopathological results from 2002 to 2011. RESULTS: In patients with ureteral endometriosis, 23 cases were diagnosed by ultrasound, 21 by intravenous urography, 11 by retrograde urography, 16 by computed tomography, and 8 with magnetic resonance imaging. All cases were treated by operative treatment. The treatments included ureterolysis in 3 cases, partial ureteral resection and ureteroneocystostomy in 6 cases, partial ureteral resection and end-to-end ureteral anastomosis in 12 cases, and endoscopic resection of ureteral endometriosis lesion in 2 cases. All of the pathologic exam­ination results were endometriosis. CONCLUSION: Our findings suggest that surgery is an effective treatment option in most patients with ureteral endometriosis exhibiting mild or moderate to severe hydronephrosis. The type of technique depends on the location and depth of the lesion.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Ureteral Diseases Ureteral Diseases Abdominal Pain Abdominal Pain Adult Anastomosis, Surgical Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Low Back Pain Low Back Pain Magnetic Resonance Imaging Middle Aged Retreatment Retrospective Studies

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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.

References (21)

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