Laparoscopic surgery for severe ureteric endometriosis

Ignacio Miranda-Mendoza, Elías Kovoor, Elias Kovoor, Kovoor E, Joseph Nassif, Hélder Ferreira, Helder Ferreira, Arnaud Wattiez
European journal of obstetrics, gynecology, and reproductive biology · 2012 · vol. 165(2) , pp. 275–279 · doi:10.1016/j.ejogrb.2012.07.002 · PMID:22824570 · W2057995514
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This retrospective descriptive study evaluated laparoscopic surgery outcomes, including ureterolysis, end-to-end anastomosis, and stenting, for thirteen patients with severe ureteric endometriosis.

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This retrospective study evaluated the clinical and surgical outcomes of laparoscopic interventions for severe ureteric endometriosis, specifically focusing on cases involving ureterohydronephrosis. The research analyzed data from thirteen patients who underwent procedures including ureterolysis, ureteric end-to-end anastomosis, and stenting at a hospital in Strasbourg between 2004 and 2009. The findings indicated that left-sided lesions were predominant, affecting nearly seventy-seven percent of the cohort, while two patients presented with non-functioning kidneys prior to surgery. This paper is centrally about endometriosis — specifically the management of deep infiltrating disease causing severe ureteral obstruction and hydronephrosis.

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Abstract

ObjectivesTo describe the outcomes of laparoscopic surgery for severe ureteric endometriosis.Study designRetrospective descriptive study of the clinical and surgical outcomes for patients who underwent laparoscopic surgery for severe ureterohydronephrosis due to endometriosis. The surgery consisted of laparoscopic ureterolysis, ureteric end-to-end anastomosis and ureteral stenting at the Department of Obstetrics and Gynecology, Strasbourg Hospitals, between June 2004 and June 2009. Data were collected from patients' notes and also included telephone interview. Normally distributed data are presented as mean ± SD, and skewed data as median (range). Categoric variables are reported as absolute values and percentages. Continuous variables are compared using the paired samples t-test. Statistical significance was set at P<0.05.ResultsThirteen patients had severe disease. Two patients had non-functioning kidneys. Left sided lesions were more common (76.9%). All patients had associated deep infiltrative endometriosis (DIE) elsewhere in the pelvis. Laparoscopic treatment was feasible in all cases without the need to convert. Ureterolysis was performed in seven patients (53.8%) and segmental resection with end-to-end anastomosis in six (46.2%) patients. Ureteric wall endometriotic infiltration was present in four cases (30.8%). Median follow up duration was 24 months. All patients had improvement of their pain symptoms. There were no intraoperative complications. Major postoperative complications were seen in three patients (23%).ConclusionsUreteric involvement is usually asymptomatic, and therefore in patients with evidence of deep endometriosis it must be excluded by ultrasound or magnetic resonance imaging. Laparoscopic treatment of ureteric endometriosis is feasible. Intrinsic ureteric endometriosis is quite frequent in severe ureterohydronephrosis. Complete excision of the disease is essential to improve pain symptomatology and to prevent recurrence of disease. Long term follow up is required to exclude any stenosis.
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Laparoscopic surgery for severe ureteric endometriosis Artículo Open/ Download Publication date 2012Metadata Show full item record Cómo citar Miranda-Mendoza, Ignacio Cómo citar Laparoscopic surgery for severe ureteric endometriosis Abstract Objectives: To describe the outcomes of laparoscopic surgery for severe ureteric endometriosis. Study design: Retrospective descriptive study of the clinical and surgical outcomes for patients who underwent laparoscopic surgery for severe ureterohydronephrosis due to endometriosis. The surgery consisted of laparoscopic ureterolysis, ureteric end-to-end anastomosis and ureteral stenting at the Department of Obstetrics and Gynecology, Strasbourg Hospitals, between June 2004 and June 2009. Data were collected from patients' notes and also included telephone interview. Normally distributed data are presented as mean ± SD, and skewed data as median (range). Categoric variables are reported as absolute values and percentages. Continuous variables are compared using the paired samples t-test. Statistical significance was set at P < 0.05. Results: Thirteen patients had severe disease. Two patients had non-functioning kidneys. Left sided lesions were more common (76.9%). All patients had associ Indexation Artículo de publicación SCOPUS Identifier URI: https://repositorio.uchile.cl/handle/2250/165851 DOI: 10.1016/j.ejogrb.2012.07.002 ISSN: 03012115 18727654 Quote Item European Journal of Obstetrics Gynecology and Reproductive Biology, Volumen 165, Issue 2, 2018, Pages 275-279 Collections

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Hydronephrosis Ureter Ureteral Diseases Adult Endometriosis Endometriosis Female Humans Hydronephrosis Hydronephrosis Laparoscopy Laparoscopy Middle Aged Retrospective Studies Treatment Outcome Ureter Ureter Ureteral Diseases

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