Ureteral endometriosis
(2001) Gynaecological Endoscopy — Vol. 10, n° 2, p. 95-97 (2001)
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- Objective To evaluate the prevalence of ureteral endometriosis and to describe the laparoscopic surgery. Design This is a prospective study. Results In a series of 306 patients with rectovaginal adenomyotic nodules, preoperative intravenous pyelography revealed ureteral stenosis with ureterohydronephrosis in 14 cases (4.5%). In four patients, complete ureteral stenosis was observed, and kidney scintigraphy revealed damaged kidney parenchymal function varying from 18% to 42%. Laparoscopic ureterolysis was possible in 13 women, and a significant postoperative decrease in ureterohydronephrosis was noted. In only one case, ureteral resection and uretero‐ureterostomy were needed. Conclusion In cases of rectovaginal adenomysois more than 3 cm, the prevalence of ureteral endometriosis is high. The preoperative IVP is needed before laparoscopic ureterolysis which will avoid the silent loss of real function.
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Citations
Nisolle, M., de la Osa Escribano, I. L., Squifflet, J.-L., & Donnez, J. (2001). Ureteral endometriosis. Gynaecological Endoscopy, 10(2), 95-97. https://doi.org/10.1046/j.1365-2508.2001.00424.x (Original work published 2001)