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[Ureteral endometriosis]
F Vesga Molina1, J M Serrano Bartolome, E Gutiérrez Minguez
1Servicio de Urología, Hospital General Yagüe, Burgos, España.
Objective:
To report a case of ureteral endometriosis, an uncommon disease in the urological practice that is diagnosed late and may cause irreversible damage to the upper urinary tract.
Methods/Results:
A case of unilateral ureteral endometriosis is presented. After attempting hormonal therapy and endourological management, the patient eventually underwent aggressive surgical treatment.
Conclusions:
The diagnosis of ureteral endometriosis should be considered in women presenting with noncalculous renal obstruction, particularly premenopausal women of low parity or those who have had previous pelvic surgery. Only a high index of suspicion and the radiological supports may help to reduce the number of alarming nephrectomies associated to this condition.