Management of Endometriosis Involving the Urinary Tract

Mobolaji O Ajao, Jon I Einarsson
Seminars in reproductive medicine · 2016 · vol. 35(01) , pp. 081–087 · doi:10.1055/s-0036-1597124 · PMID:27926970 · W2560833868
review OA: closed CC0 ⤵ 6 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews the diagnosis and surgical management of endometriosis affecting the bladder and ureters, the most common sites of urinary tract involvement.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This seminar paper reviews endometriosis involving the urinary tract, focusing on how the bladder and ureters are affected, the patterns of diagnosis, and the relationship to disease stage and treatment choice. It summarizes the accepted retrograde menstruation pathogenesis, highlights that delayed diagnosis is more common in extrapelvic urinary involvement, and contrasts first-line medical management with the frequent need for surgical intervention in advanced urinary tract disease. A key caveat is that the article is a narrative overview rather than a single primary study, so it does not provide new trial-level evidence. This paper is centrally about endometriosis — it focuses specifically on management of urinary tract endometriosis involving the bladder and ureters.

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Abstract

Endometriosis is a common cause of infertility and disabling pelvic pain in reproductive age women. The most widely accepted theory of its pathogenesis is the retrograde flow of menstrual products, although extra-abdominal and extrapelvic diagnoses have been made. After the pelvic peritoneum and gynecologic structures, the most commonly affected sites are the lower gastrointestinal and urinary tracts. When the urinary tract is involved, the bladder is the predominant site, followed by the ureters. The focus of this seminar will thus be these two anatomic sites. Delayed diagnosis is unfortunately common for endometriosis as a whole, but more so when extrapelvic sites are involved. While the first-line therapy for endometriosis is medical management, urinary tract involvement often represents advanced stage of the disease, thereby requiring surgical intervention. With timely diagnosis and intervention by skilled gynecologic or urologic surgeons, favorable outcomes can be attained.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Ureteral Diseases Urinary Bladder Diseases Urologic Surgical Procedures Urologic Surgical Procedures Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Risk Factors Treatment Outcome Ureteral Diseases Ureteral Diseases Urinary Bladder Diseases Urinary Bladder Diseases

Citation neighborhood

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.

Cited by (6)

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europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
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License: CC0 · commercial use OK