Recurrence of deep infiltrating endometriosis with urinary tract involvement

D.V. Bryunin, M.E. Enikeev, Alla A. Bakhvalova, FARAKH T. ALIEVA, FIDAN T. ALIEVA, I.D. Khokhlova, T.A. Dzhibladze, I.V. Gadaeva, Yu.V. Chushkov, A. Asambaeva, A.I. Ishchenko, А.И. Ищенко
In: Voprosy ginekologii, akušerstva i perinatologii · 2022 · vol. 21(3) , pp. 138–142 · doi:10.20953/1726-1678-2022-3-138-142 · W4313305331
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Laparoscopic excision of multifocal deep infiltrating endometriosis involving the urinary tract via a multidisciplinary approach resulted in successful disease resolution and no recurrence over six months, enabling preparation for pregnancy.

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This case report details the clinical management of a 41-year-old woman experiencing recurrent deep infiltrating endometriosis with specific involvement of the urinary tract. The patient underwent a complex laparoscopic procedure involving adhesiolysis, left ovariectomy, and excision of infiltrates from the parametrium, rectovaginal septum, bladder wall, and ureter, followed by ureterocystostomy. A six-month postoperative follow-up confirmed the absence of disease recurrence or upper urinary tract dilatation, allowing the patient to proceed with preparations for pregnancy. This paper is centrally about endometriosis — specifically the surgical treatment and short-term outcomes of deep infiltrating lesions affecting the urinary system.

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Abstract

This article presents a clinical follow-up of a 41-year-old patient with the recurrence of deep infiltrating endometriosis affecting the urinary tract. A multidisciplinary approach to examination and treatment contributed to the successful outcome of laparoscopic surgery, which included adhesiolysis, resection of the left ovary, excision of endometrioid infiltrates in the left parametrium, rectovaginal septum and vagina, posterior wall of the urinary bladder, left ureterocystostomy. The dynamic 6-month follow-up revealed no signs of recurrence of the disease and upper urinary tract dilatation, which made it possible to start preparing for next pregnancy. Key words: recurrence of deep infiltrating endometriosis, multidisciplinary approach, laparoscopy, excision of multifocal endometrioid infiltrates, ureterocystostomy
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Recurrence of deep infiltrating endometriosis with urinary tract involvement Dmitriy V. Bryunin / Mikhail E. Enikeev / Alla A. Bakhvalova / Farakh T. Alieva / Fidan T. Alieva / Irina D. Khokhlova / Thea A. Dzhibladze / Irina V. Gadaeva / Yurii V. Chushkov / Aylar Asambaeva / Anatoliy I. Ishchenko / This article presents a clinical follow-up of a 41-year-old patient with the recurrence of deep infiltrating endometriosis affecting the urinary tract. A multidisciplinary approach to examination and treatment contributed to the successful outcome of laparoscopic surgery, which included adhesiolysis, resection of the left ovary, excision of endometrioid infiltrates in the left parametrium, rectovaginal septum and vagina, posterior wall of the urinary bladder, left ureterocystostomy. The dynamic 6-month follow-up revealed no signs of recurrence of the disease and upper urinary tract dilatation, which made it possible to start preparing for next pregnancy. Key words: recurrence of deep infiltrating endometriosis, multidisciplinary approach, laparoscopy, excision of multifocal endometrioid infiltrates, ureterocystostomy For citation: Bryunin D.V., Enikeev M.E., Bakhvalova A.A., Alieva Farakh T., Alieva Fidan T., Khokhlova I.D., Dzhibladze T.A., Gadaeva I.V., Chushkov Yu.V., Asambaeva A., Ishchenko A.I. Recurrence of deep infiltrating endometriosis with urinary tract involvement. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2022; 21(3): 138–142. (In Russian). DOI: 10.20953/1726-1678-2022-3-138-142

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