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Ureteral endometriosis – Our experience

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Original Article

Author Details : R B Nerli*, Sreeharsha Nutalapati, Priyeshkumar Patel, M B Bellad, Shridhar C Ghagane

Volume : 7, Issue : 3, Year : 2020

Article Page : 374-378

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

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Abstract

Introduction: 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.
Materials and Methods: 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.
Results: 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.
Conclusions: 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.

Keywords: Ureteral endometriosis, Ureterolysis, Ureteroureterostomy, Ureteroneocystotomy, Nephroureterectomy, Endometriosis, Laparoscopic surgery.

How to cite : Nerli R B , Nutalapati S , Patel P , Bellad M B, Ghagane S C , Ureteral endometriosis – Our experience. Indian J Obstet Gynecol Res 2020;7(3):374-378

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