Diagnosis and treatment of ureteral endometriosis of 16 cases

VernacularTitle:输尿管子宫内膜异位症16例的诊断与治疗
Author: Haijun HOU ; Jing XIAO ; Yichen ZHU ; Jian ZHANG ; Yuwen GUO ; Ye TIAN
Publication Type:Journal Article
Keywords: Endometriosis; Ureteral obstruction; Hydronephrosis
From: International Journal of Surgery 2012;39(4):257-259
CountryChina
Language:Chinese
Abstract: Objective To investigate the clinical characteristics and treatmentof ureteral endometriosis.MethodsA retrospective analysis was made on the clinical data of 16 cases of ureteral endometriosis of the Department of Vrology,Beijing Friendship Hapital,Affiliated to Copital Medical Universty from January.1991 to Augest.2011.ResultsSixteen cases were pathologically confirmed endometriosis,including 11 cases of outer lumen type,5 cases of lumen type ; endomctriosis lesions were all located in the lower ureter.Ureteral stricture length was 1.0-4.0 cm.During 12 months to 20 years follow-up,hydronephrosis detected by ultrasonography in 15 patients was released significantly,and no recurrence occurred except one case who was found hydronephrosis 3 years later.Ureter anastomosis was undergone later.ConclusionsUreteral endometriosis onset is undetectable which could impact renal function.Renal ultrasonography can reduce misdiagnosis.The principle of treatment is to remove the obstruction and protect renal function,and well follow-up to prevent recurrence.