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Related Experiment Videos

[Ureteral endometriosis].

F Casper, E Petri

    Geburtshilfe Und Frauenheilkunde
    |November 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Endometriosis can affect the urinary tract in 1-11% of cases, often presenting diagnostic challenges. Early consideration in premenopausal women with urinary symptoms is crucial for timely diagnosis and treatment.

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    Area of Science:

    • Gynecologic Oncology
    • Urology
    • Surgical Pathology

    Context:

    • Urinary tract involvement in endometriosis is uncommon, typically ranging from 1% to 11% of cases.
    • Adenomyosis is a rare exception to the general rule of urinary tract involvement in endometriosis.
    • Preoperative diagnosis of urinary tract endometriosis presents significant challenges, often requiring intraoperative confirmation.

    Purpose:

    • To highlight the diagnostic difficulties associated with urinary tract endometriosis.
    • To present a case series illustrating preoperative diagnostic challenges.
    • To outline the preferred treatment strategy for urinary tract endometriosis in patients with preserved renal function.

    Summary:

    • Definitive diagnosis of urinary tract endometriosis frequently requires intraoperative examination.

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  • Ureteroneocystostomy with a psoas hitch and hormone therapy is the recommended treatment for patients with preserved renal function.
  • Endometriosis should be included in the differential diagnosis for premenopausal women experiencing unexplained symptoms and distal ureteral voiding dysfunction.

    • Impact:

    • Improved diagnostic accuracy for urinary tract endometriosis.
    • Enhanced understanding of treatment options for urinary tract endometriosis.
    • Timely intervention for premenopausal women with voiding disorders and suspected endometriosis.