Ureteral endometriosis

• Published in: Gynaecological endoscopy Vol. 10; no. 2; pp. 95 - 97
• Main Authors: Nisolle, Michelle, De La Osa Escribano, Inigo Lopez, Squifflet, Jean, Donnez, Jacques
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01.04.2001
• Subjects: rectovaginal adenomyosis; ureteral endometriosis; ureterohydronephrosis; ureterolysis
• ISSN: 0962-1091; 1365-2508
• DOI: 10.1046/j.1365-2508.2001.00424.x

Objective To evaluate the prevalence of ureteral endometriosis and to describe the laparoscopic surgery. Design This is a prospective study. Results In a series of 306 patients with rectovaginal adenomyotic nodules, preoperative intravenous pyelography revealed ureteral stenosis with ureterohydronephrosis in 14 cases (4.5%). In four patients, complete ureteral stenosis was observed, and kidney scintigraphy revealed damaged kidney parenchymal function varying from 18% to 42%. Laparoscopic ureterolysis was possible in 13 women, and a significant postoperative decrease in ureterohydronephrosis was noted. In only one case, ureteral resection and uretero‐ureterostomy were needed. Conclusion In cases of rectovaginal adenomysois more than 3 cm, the prevalence of ureteral endometriosis is high. The preoperative IVP is needed before laparoscopic ureterolysis which will avoid the silent loss of real function.