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Management of ureteral endometriosis: a report of ten cases / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal ; (4): 218-223, 2008.
Article in English | WPRIM | ID: wpr-302667
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical features and management of ureteral endometriosis.</p><p><b>METHODS</b>Patients surgically and histologically diagnosed as ureteral endometriosis from January 2001 to January 2007 in Peking Union Medical College Hospital were retrospectively reviewed.</p><p><b>RESULTS</b>Ten patients were diagnosed as ureteral endometriosis among 7561 cases with surgically and histologically proved diagnosis of endometriosis, with an incidence of 0.132%. Nine out of 10 patients were extrinsic ureteral endometriosis and concomitant with severe pelvic endometriosis, and the other was intrinsic ureteral endometriosis. Hormone therapy failed in 2 patients with urinary tract obstruction. Ureterolysis was performed in 6 patients and ureterectomy was performed in 4 patients. One case of ureteral recurrence was observed in a postmenopausal woman without hormonal replacement therapy who received laparoscopic ureterolysis and hysterectomy with bilateral adnexectomy. No relapse was observed in the other 9 patients.</p><p><b>CONCLUSIONS</b>Ureteral endometriosis is a rare entity. The upper urinary tract should be evaluated in patients with severe endometriosis, even in postmenopausal women. The treatment of ureteral endometriosis usually requires surgery, while ureterolysis should not be performed in patients with extensive disease. As a form of adjuvant therapy of surgery, hormonal therapy is an appropriate option.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Therapeutics / Ureter / Ureteral Obstruction / Retrospective Studies / Diagnosis, Differential / Endometriosis Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans Language: English Journal: Chinese Medical Sciences Journal Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pathology / Therapeutics / Ureter / Ureteral Obstruction / Retrospective Studies / Diagnosis, Differential / Endometriosis Type of study: Diagnostic study / Observational study Limits: Adult / Female / Humans Language: English Journal: Chinese Medical Sciences Journal Year: 2008 Type: Article