Combined laparoscopic and vaginal approach for nephrectomy, ureterectomy, and removal of a large rectovaginal endometriotic nodule causing loss of renal function
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This paper details a combined laparoscopic and vaginal surgical approach used to remove a large rectovaginal endometriotic nodule that had caused loss of renal function.
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Abstract
A late consequence of ureteral endometriosis is the silent loss of renal function caused by progressive "enclosure" of the lower part of the ureter by the endometriosis. In our experience, in cases of severe loss of renal function with cortical atrophy and residual kidney function (evaluated by Tc99 DMSA scintigraphy) of less than 15%, removal of the endometriosis combined with ureterolysis does not allow recovery of renal function. A nonfunctioning kidney associated with hydronephrosis is a risk factor for vascular hypertension, recurrent pyelonephritis, or kidney stones and therefore an indication for nephrectomy. By means of a case report, this paper describes the combination of laparoscopic nephrectomy, ureterectomy, removal of the rectovaginal endometriotic nodule, and extraction of the kidney through the vagina.
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References (10)
- Aromatase inhibitors: the next generation of therapeutics for endometriosis? via openalex
- Laparoscopic excision of deep endometriosis via openalex
- Recto vaginal septum adenomyotic nodules: a series of 500 cases via openalex
- Treatment of Severe Postmenopausal Endometriosis With an Aromatase Inhibitor via openalex
- Ureteral endometriosis: a frequent complication of rectovaginal and retrocervical endometriosis via openalex
- Urinary tract endometriosis treated by laparoscopy via openalex
- W2087813694 via openalex
- W579877862 via openalex
- W2154095911 via openalex
- W6636305478 via openalex
Cited by (25)
- Chronic Pelvic Puzzle: Navigating Deep Endometriosis with Renal Complications 2023
- Bilateral ureteral Deep infiltrating endometriosis: a rare case 2022
- Nomogram for Predicting a Complex Ureteral Procedure in Pelvic Endometriosis Surgery 2022
- Exclusión renal por endometriosis profunda ureteral: a propósito de un caso 2021
- Deep endometriosis: The place of laparoscopic shaving 2020
- Unilateral Ureteric Endometriosis at the Pelvic Brim Resulting in Complete Loss of Renal Function 2019
- Ureteral endometriosis: a systematic review of epidemiology, pathogenesis, diagnosis, treatment, risk of malignant transformation and fertility 2018
- Localisations urinaires de l’endométriose. Résultats et modalités techniques de la prise en charge chirurgicale. RPC Endométriose CNGOF-HAS 2018
- The Diagnosis and Management of Severe Endometriosis 2017
- Ureteral stenosis due to DIE (deep infiltrating endometriosis) with difficulty in treatment: Case report and brief literature review 2017
- Acute Renal Failure due to Obstructive Uropathy Secondary to Ureteral Endometriosis 2015
- Hydronephrosis due to ureteral endometriosis in women of reproductive age. 2015
- Severe endometriosis in a young woman with unexpected end-organ failure 2015
- Rectosigmoid deep infiltrating endometriosis and ureteral involvement with loss of renal function 2012
- Abdominal radical trachelectomy for treatment of deep infiltrating endometriosis of the cervix 2012
- Deep rectovaginal endometriotic nodules: perioperative complications from a series of 3,298 patients operated on by the shaving technique 2012
- Manejo quirúrgico de la endometriosis vésico-ureteral y sus complicaciones 2012
- Ureteral endometriosis and loss of renal function: mechanisms and interpretations 2011
- Robotic-Assisted Laparoscopic Management of Ureteral Endometriosis 2011
- Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules 2010
- A multidisciplinary, minimally invasive approach for complicated deep infiltrating endometriosis 2009
- Laparoscopic hysterectomy and ileocecal resection for treatment of endometriosis. 2009
- Patient with pelvic pains: retroperitoneal fibrosis or pelvic endometriosis? A case report and review of literature 2009
- Laparoscopic management of ureteral endometriosis 2009
- Combined vaginal–laparoscopic–abdominal approach for the surgical treatment of rectovaginal endometriosis with bowel resection: a comparison of this new technique with various established approaches by laparoscopy and laparotomy 2007
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