Abstract
Our study aimed at evaluating, retrospectively, the outcome of the surgical management of urinary tract endometriosis. Twelve women with a mean age of 36,4 were recruited between 1994 and 2007. They all had a histologically-proven and surgically-treated endometriosis of the urinary tract. Seven of them had a unilateral ureteric localization, two had a bilateral ureteric localization and three had a vesical localization. One patient with bladder nodules underwent a partial cystectomy and the two other patients with bladder localization underwent a transurethral resection. Out of the nine patients who had a ureteric localization of endometriosis, seven had a ureterectomy and re-implantation with bladder psoas hitching and had no recurrence. Our experience showed that ureterectomy and re-implantation with bladder psoas hitching is probably the best way of preventing recurrences in the case of urethral endometriosis. In the case of bladder endometriosis, transurethral resection did not appear as the most effective treatment although it remains an acceptable alternative, especially as far as premenopausal women or young women wishing to conceive are concerned.
References
Jan 1, 1996·The Journal of Urology·P VercelliniP G Crosignani
Dec 1, 1993·Baillière's Clinical Obstetrics and Gynaecology·A Magos
Feb 26, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·I A Brosens, J J Brosens
Apr 29, 2000·Gynecologic Oncology·S OgawaH Nakano
May 8, 2000·The Journal of Urology·O L WestneyE J McGuire
Jun 6, 2000·Primary Care Update for Ob/Gyns·NezhatC Nezhat
Mar 10, 2001·Nihon rinsho. Japanese journal of clinical medicine·K Nasu, I Miyakawa
Mar 10, 2001·Nihon rinsho. Japanese journal of clinical medicine·H Iwase, H Yoshikawa
Jul 28, 2001·The New England Journal of Medicine·D L Olive, E A Pritts
Apr 13, 2002·Annals of the New York Academy of Sciences·Lillian Marie Swiersz
Oct 10, 2002·Fertility and Sterility·Ceana H NezhatCamran Nezhat
Dec 13, 2002·The Urologic Clinics of North America·Craig V Comiter
Jan 25, 2006·Human Reproduction·A MelinA Bergqvist
Apr 25, 2006·European Urology·Alessandro AntonelliSergio Cosciani Cunico
Jul 22, 2008·Archives of Gynecology and Obstetrics·I GiarenisS G Crocker
Oct 24, 2008·Gynecologic and Obstetric Investigation·Marta TesoneGabriela Meresman
Nov 21, 2008·Fertility and Sterility·Agnieszka ChrobakMałgorzata Jerzak