Ureteral endometriosis – Our experience

R B Nerli,M B Bellad,Shridhar C Ghagane,Sreeharsha Nutalapati,Priyeshkumar Patel

doi:10.18231/j.ijogr.2020.080

R B Nerli, M B Bellad + Show 3 more

Open Access

https://doi.org/10.18231/j.ijogr.2020.080

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Abstract

Ureteral endometriosis is a rare disease affecting women of childbearing age, which presents with nonspecific symptoms and may lead to severe morbidity. The ureters can be involved either extrinsically and/or intrinsically by endometriosis. In this study we have retrospectively assessed the patients presenting to us with ureteral endometriosis. Between July 2009 and December 2019, (17) women of childbearing age presented to the urological services of the hospital with complaints of lower abdominal pain, dysmenorrhea, dysuria and a range of other symptoms. Pain in lower abdomen was the most common symptom and was cyclical in the majority of the patients. Only 2 patients had undergone surgery (diagnostic laparoscopy) previously for pain in abdomen and normal ultrasonography. Ureteric endometriosis is rare but a cause of severe morbidity in those that have deep infiltrating endometriosis. Can lead to ureteric obstruction and at times loss of function. An index of suspicion in women in child bearing age is important. Hormonal manipulation along with surgical intervention is beneficial in most patients.

Highlights

Ureteral endometriosis is a rare disease affecting women of childbearing age, which presents with nonspecific symptoms and may result in severe morbidity
11 We report our series of patients diagnosed to have ureteral endometriosis
Evaluation of the urinary tract is a must in all such cases whenever deep infiltrating endometriosis is suspected and more if the rectovaginal septum is affected by nodules of >3 cm. 16 Patients with rectocervical endometriosis have a 7-fold greater chance of having ureteral endometriosis, whereas patients with rectum-sigmoid endometriosis have a 22-fold greater chance

Summary

Introduction

Ureteral endometriosis is a rare disease affecting women of childbearing age, which presents with nonspecific symptoms and may lead to severe morbidity. Results: Pain in lower abdomen was the most common symptom and was cyclical in the majority of the patients. Ureteral endometriosis is a rare disease affecting women of childbearing age, which presents with nonspecific symptoms and may result in severe morbidity. 5 The ureters can be involved either extrinsically and/or intrinsically by endometriosis. The endometrial glandular and stromal tissue involves only the adventitia of the ureter or surrounding connective tissues, whereas in the intrinsic type, the muscularis propria, lamina propria, or the ureteral lumen is involved. The endometrial glandular and stromal tissue involves only the adventitia of the ureter or surrounding connective tissues, whereas in the intrinsic type, the muscularis propria, lamina propria, or the ureteral lumen is involved. 11 We report our series of patients diagnosed to have ureteral endometriosis

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