Ureteral Endometriosis Treated with Laparoscopic Ureteral Resection and Primary Anastomosis: Report of a Case

Endometriosis accounts for the second most common gynecologic disease in women. It occurs commonly in the female internal genital organs and pelvic cavity. Other rare sites including the urinary tract have however been reported in the literature. Herein, we present a 44-year-old woman with left lower ureteral stricture and repeated hydronephrosis despite temporary ureteral stenting after laparoscopic hysterectomy for adenomyosis. Ureteroscopy revealed a circumferential polypoid lesion in left lower ureter and she received 4-port transperitoneal laparoscopic segmental resection of the ureter and reanastomosis of ureter. Extrinsic ureteral endometriosis was confirmed by pathologic examination. There was no recurrence during 4-month followup. Laparoscopic resection offers minimal invasiveness and adequate treatment for this entity in selected cases.