Analysis of the diagnosis and treatment of ureteral endometriosis by laparoscopic surgery in 16 patients
- Author:
Qing LIU
1
;
Yu-xin SUN
1
;
Kai-jiang LIU
1
;
Pei-quan LI
1
Author Information
- Publication Type:Journal Article
- Keywords: ureteral endometriosis; laparoscope; surgical treatment
- From: Chinese Journal of Practical Gynecology and Obstetrics 2019;35(08):934-937
- CountryChina
- Language:Chinese
- Abstract: OBJECTIVE: To investigate the clinical characteristics and the feasibility of laparoscopic treatment of ureteral endometriosis.METHODS: Retrospective analysis of the clinical characteristics,treatment methods and prognosis of 16 patients with ureteral endometriosis from Renji Hospital of Shanghai Jiao Tong University School of Medicine from January 2015 to February 2017.RESULTS: Ureteral stricture is the main symptom for all these 16 patients.15 patients merged with other deep infiltrating endometriosis(DIE)(15/16).All patients underwent laparoscopic surgery.Ureterolysis plus ureteral stent placement were performed in 8 patients,while laparoscopic ureteroneocystostomy in 6 and 2 abandoned surgery.Radical resection of DIE lesions were performed in 15 patients,hysterectomy in 4 patients,adenomyotomy in 2 patients,one-sided or double-sided ovarian cyst removal in 5 patients,ovariocystectomy and adnexectomy in 3 patients.More than 2 surgeries were performed in 1 patient.15 patients preserve ovarian function.No serious postoperative complications.CONCLUSION: Ureteral endometriosis is rare and difficult to diagnosis as lacking of specific symptoms.Laparoscopic treatment can achieve satisfactory therapeutic outcome.
