Surgical management of bilateral ureteral endometriosis.

Abstract:

:Ureteral endometriosis is a rare disease that typically is unilateral. Endometriosis involving both ureters and surgical management after hormone therapy failure has seldom been described. We describe a patient with bilateral ureteral endometriosis who underwent ureteroneocystostomy with psoas hitches of both ureters. A 33-year-old woman with advanced endometriosis and recurrent pyelonephritis was found to have high-grade bilateral ureteral obstruction at the pelvic inlet from ureteral endometriosis. The patient subsequently underwent a supracervical hysterectomy with bilateral salpingo-oophorectomy, ureterolysis, and ureteroneocystostomy with psoas hitches and ureteral stent placements. Surgical therapy is reserved for advanced disease with the optimal choice being a ureteral reimplantation with a psoas hitch. The key operative point for a successful psoas hitch ureteral reimplantation is completely mobilizing the bladder anteriorly and laterally.

journal_name

Int Urol Nephrol

authors

Yee DS,Shanberg AM,Ngo AT,Baghdassarian R

doi

10.1007/s11255-006-0101-7

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

469-71

issue

3-4

eissn

0301-1623

issn

1573-2584

journal_volume

38

pub_type

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