Robotic-assisted laparoscopic management of ureteral endometriosis

Endometriosis is the leading cause of female pelvic pain and infertility and affects approximately 10% of women. Lesions involve the urinary tract in up to 6% of cases with ureteral involvement in a smaller subset of .08% to 1%. Multiple authors describe open and laparoscopic approaches to management of ureteral endometriosis; however, this report describes 2 cases of ureteral obstruction secondary to endometriosis managed with robotic-assisted laparoscopic partial ureterectomy and ureteroneocystostomy.