Ureteral endometriosis: A systematic literature review
نویسندگان
چکیده
INTRODUCTION Ureteral endometriosis is a rare disease affecting women of childbearing age which presents with nonspecific symptoms and it may result in severe morbidity. The aim of this study was to review evidence about incidence, pathogenesis, clinical presentation, diagnosis, and management of ureteral endometriosis. MATERIALS AND METHODS PubMed Central database was searched to identify studies reporting cases of ureteral endometriosis. "Ureter" or "Ureteral" and "Endometriosis" were used as key words. Database was searched for articles published since 1996, in English without restrictions regarding the study design. RESULTS From 420 studies obtained through database search, 104 articles were finally included in this review, including a total of 1384 patients with ureteral endometriosis. Data regarding age, location, pathological findings, and interventions were extracted. Mean patients' age was 38.6 years, whereas the therapeutic arsenal included hormonal, endoscopic, and/or surgical treatment. CONCLUSIONS Ureteral endometriosis represents a diagnostic and therapeutic challenge for the clinicians and high clinical suspicion is needed to identify it.
منابع مشابه
Ureteral Endometriosis: Proposal for a Diagnostic and Therapeutic Algorithm with a Review of the Literature
Introduction: The ureteral involvement in deep pelvic endometriosis in usually asymptomatic and might lead to a silent loss of renal function. As a matter of fact, the diagnosis and the treatment modalities are still a matter of debate. Materials and Methods: We performed a literature review by searching the MEDLINE database for articles published in English between 1996 and 2010, using the key...
متن کاملUreteral endometriosis: proposal for a diagnostic and therapeutic algorithm with a review of the literature.
INTRODUCTION The ureteral involvement in deep pelvic endometriosis in usually asymptomatic and might lead to a silent loss of renal function. As a matter of fact, the diagnosis and the treatment modalities are still a matter of debate. MATERIALS AND METHODS We performed a literature review by searching the MEDLINE database for articles published in English between 1996 and 2010, using the key...
متن کاملUrocortin Expression in Endometriosis: A Systematic Review
Urocortin is a neuropeptide belonging to the corticotrophin-releasing hormone family and is expressed by eutopic and ectopic human endometrium and the last years is investigated in the field of endometriosis. The objective of this systematic review is to accumulate current evidence related to the expression of urocortin in tissue and blood samples of patients suffering from endometriosis. Liter...
متن کاملUreteral endometriosis: a rare and underdiagnosed cause of kidney dysfunction.
Little attention has been paid by the renal literature to ureteral endometriosis, a rare and silent disorder that can eventually lead to renal failure. In endometriosis, the ureteral involvement can be limited to a single ureter, more often the left one, or both ureters with consequent urine tract obstruction and ureterohydronephrosis. In most cases, the ureteral obstruction is caused by endome...
متن کاملUreteral Endometriosis: A Report Of Two Cases
Endometriosis is the presence of benign endometrial glands and stroma outside the uterus. Urinary system involvement by endometriosis is a rare occurrence accounting for only 1.5 % of all endometriosis cases. Case 1. The patient was a 41 years old woman admitted for right flank pain. The physical and gynaecologic examination was unyielding. Intravenous urography (IVU) revealed sten...
متن کامل