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Ureteral endometriosis
1Division of Urology, Department of Surgery, Creighton University, Omaha, NE, USA.
The Journal of Urology
|June 11, 2003
Summary
Ureteral endometriosis is rare and often presents as silent obstruction. While hormone therapy is the primary treatment, surgery may be needed for refractory cases, with surveillance recommended for all endometriosis patients.
Area of Science:
- Gynecologic Surgery
- Urology
- Reproductive Medicine
Background:
- Ureteral endometriosis is an uncommon condition.
- It often presents insidiously with urinary tract obstruction rather than cyclical hematuria.
- Diagnosis necessitates a high index of suspicion.
Purpose of the Study:
- To review the pathophysiology of ureteral endometriosis.
- To discuss diagnostic approaches.
- To outline minimally invasive medical and surgical treatment strategies.
Main Methods:
- A comprehensive literature search was conducted.
- MEDLINE database was utilized for relevant reports.
- Focus on diagnosis and management of ureteral endometriosis.
Main Results:
- Ureteral endometriosis is a rare entity.
- Silent obstruction is the most common presentation.
- Diagnostic tests aid in assessing disease extent and renal function.
Conclusions:
- Treatment options include hormonal therapy and surgical intervention.
- Hormonal therapy is often sufficient, reserving surgery for refractory or severe cases.
- Surveillance for obstructive uropathy is recommended for all endometriosis patients.