3034 Robotic-Assisted Ureteroneocystostomy and Psoas Hitch for Ureteral Endometriosis

Abstract

Video Objective We present a case of extrinsic urethral endometriosis. We review the peri-operative management with renal function testing, pre-operative imaging and stent placement. The patient had a robotic-assisted ureteroneocystostomy with psoas hitch for her severe disease. The goal of this video is to review peri-operative management of urinary tract endometriosis and to demonstrate the surgical technique of ureterolysis in extrinsic ureteral endometriosis and ureteroneocystostomy with psoas hitch. Setting the patient was managed in the outpatient setting as well as the inpatient surgical suite. Interventions Surgical: ureteroneocystostomy with psoas hitch. Conclusion Ureteral endometriosis is a rare manifestation of pelvic endometriosis that can be managed with appropriately with a peri-operative work-up including renal functions tests and pelvic imaging. Ureteral re-implantation for severe distal disease must be considered.