Outcome of laparoscopic ureterolysis for ureteral endometriosis

Abstract

Ureteral endometriosis is a rare entity with a reported prevalence of less than 1% of women with endometriosis ( 1 x 1 Stillwell, T.J., Kramer, S.A.Z., and Lee, R.A. Endometriosis of the ureter. Urology. 1986; 26: 81 Abstract | Full Text PDF | Scopus (91) | Google Scholar See all References 1 ). Endometriotic lesions involving the ureter present a clinical challenge both in the diagnosis and the management. The diagnosis of ureteral endometriosis requires great awareness and vigilance for this condition, as it may be easily missed on clinical examination and even on laparoscopic inspection. Given the poor correlation between the extent of the retroperitoneal disease and the appearance of the overlying peritoneum ( 2 x 2 Koninckx, P.R. and Martin, D.C. Deep endometriosis (a consequence of infiltration or retraction or possibly adenomyosis externa?) . Fertil Steril. 1992; 58: 924–928 Abstract | Full Text PDF | PubMed | Google Scholar See all References 2 ), ureteral involvement can occur with no concomitant signs of pelvic endometriosis and may be underestimated intraoperatively.