Laparoscopic Ureteral Reimplantation in Endometriosis: A Severe Case
نویسندگان
چکیده
In aggressive cases, endometriosis can perturb the urogenital tract, in particular the ureter, which can potentially result in ureteral compression or stenosis. Even though this is rare, consequences are dramatic, such as hydronephrosis or organ failure. The present standard intervention comprises the resection of affected tissues and endometriosis foci combined with adjuvant hormonal therapy. When the ureter does not recover, ureteral reimplantation is required. The present case describes the successful laparoscopic approach of the reimplantation of the ureter with simultaneous cystoscopy.
منابع مشابه
Laparoscopic ureteral repair in gynaecological surgery.
PURPOSE OF REVIEW To review laparoscopic surgery in the treatment options for ureteral lesions in gynaecological surgery. RECENT FINDINGS Laparoscopic treatment of ureteral injuries has been increasingly reported over the past years. Treatment has progressively shifted from ureteroneocystostomy performed by laparotomy to less invasive treatment options such as ureteral stenting or dilatation ...
متن کاملLaparoscopic conservative management of ureteral endometriosis: a survey of eighty patients submitted to ureterolysis
BACKGROUND this study aims to evaluate the effectiveness and safety of laparoscopic conservative management of ureteral endometriosis. METHODS Eighty cases of histologically confirmed endometriosis affecting the ureter, 10 of which with bladder involvement were prospectively studied. In detail, patients were 13 women with ureteral stenosis (7 with hydronephrosis), 32 with circular lesions tot...
متن کاملRobotic-Assisted Laparoscopic Management of Ureteral Endometriosis
Endometriosis is the leading cause of female pelvic pain and infertility and affects approximately 10% of women. Lesions involve the urinary tract in up to 6% of cases with ureteral involvement in a smaller subset of .08% to 1%. Multiple authors describe open and laparoscopic approaches to management of ureteral endometriosis; however, this report describes 2 cases of ureteral obstruction secon...
متن کاملLaparoscopic Ureteroneocystostomy and Vesicopsoas Hitch for Infiltrative Endometriosis
OBJECTIVE To report a series of laparoscopic vesicopsoas hitch procedures performed for the treatment of infiltrative ureteral endometriosis. METHODS A retrospective chart review of 6 women with severe endometriosis and ureteral obstruction caused by infiltrative disease of the distal ureter was performed. The patients underwent successful laparoscopic ureteroneocystostomy and vesicopsoas hit...
متن کامل[Ureterectomy in the treatment of urothelial carcinoma of the distal ureter].
INTRODUCTION Segmental ureterectomy with preservation of the kidney is a treatment option for the low grade urothelial carcinoma (LG-UC) in distal ureter that is not a candidate for endoscopic resection. Laparoscopic distal ureterectomy (LDU) with ureteral reimplantation is common in benign conditions (stenosis, iatrogenic lesion, endometriosis). However, it has been hardly described in maligna...
متن کامل