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Related Experiment Videos

Urinary tract endometriosis treated by laparoscopy

C Nezhat1, F Nezhat, C H Nezhat

  • 1Department of Gynecology and Obstetrics, Stanford University School of Medicine, California, USA.

Fertility and Sterility
|December 1, 1996
PubMed
Summary

Laparoscopic surgery effectively treats severe urinary tract endometriosis, including bladder and ureter involvement. This minimally invasive approach offers a safe and efficient solution for diagnosing and managing this condition.

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Area of Science:

  • Gynecologic Surgery
  • Urology
  • Minimally Invasive Procedures

Background:

  • Severe urinary tract endometriosis, affecting the bladder and ureter, can lead to silent renal compromise.
  • Diagnosis and treatment of deeply infiltrating urinary tract endometriosis pose significant challenges.

Purpose of the Study:

  • To evaluate the efficacy of the laparoscopic approach for diagnosing and treating severe urinary tract endometriosis.
  • To assess the safety and effectiveness of laparoscopic surgery for bladder and ureteral endometriosis.

Main Methods:

  • Retrospective review of 28 women with deeply infiltrating urinary tract endometriosis (bladder and ureter).
  • All procedures were performed laparoscopically, including partial cystectomy, ureterolysis, excision, partial wall resection, ureteroureterostomy, and ureteroneocystostomy.

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  • Outcomes measured included postoperative urinary function, pain relief, and complications.

    • Main Results:

    • Laparoscopic surgery was performed for bladder (7 cases) and ureteral (21 cases) endometriosis.
    • 17 women with partial ureteral obstruction underwent ureterolysis and excision or partial wall resection.
    • 4 women with complete ureteral obstruction underwent partial resection with ureteroureterostomy or ureteroneocystostomy.

    Conclusions:

    • Severe infiltrative endometriosis of the urinary tract can be asymptomatic and compromise renal function.
    • The laparoscopic approach is a safe and effective method for the diagnosis and treatment of severe urinary tract endometriosis.
    • The observed rate of ureteral endometriosis in this series was higher than previously reported.