title: [Obstructive uropathy secondary to recurrent pelvic endometriosis: description of a clinical case].
abstract: The typical presentation of endometriosis is pelvic pain. Patients with with endometriosis often have associated fertility disorders even if their relationship with the symptoms and signs of endometriosis is not evident. The first line of treatment for endometriosis must be surgery. In case of infertility the preferred approach is laparoscopic, maybe in association with medical treatment and possibly followed up by a second-look. In cases with relevant pelvic pain and involvement of other organs, laparotomy is necessary, particularly when a deep endometriosis is infiltrating the uterosacral ligaments, the rectovaginal septum and the bladder. Medical treatment of endometriosis is based upon the hormone-dependency of the endometriotic lesions inducing a resting status. Adhesions, endometriomas or fibrous sequelae do not respond to medical treatment. We describe a case of recurrent endometriosis treated with radical surgery for relevant lesions and fibrous adhesions of ureters with consequent bilateral hydronephrosis.
authors.affiliation: Unità Operativa di Urologia, Azienda Ospedaliera Papardo, Messina. f.mastroeni@infinito.it
authors.forename: Francesco
authors.initials: F
authors.lastname: Mastroeni
authors.forename: Salvatore
authors.initials: S
authors.lastname: Rotondo
authors.forename: Emanuele
authors.initials: E
authors.lastname: Caldarera
authors.forename: Luca
authors.initials: L
authors.lastname: Spinnato
authors.forename: Maurizio
authors.initials: M
authors.lastname: Aragona
authors.forename: Carlo
authors.initials: C
authors.lastname: Aragona
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D004715:Endometriosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D005260:Female; D005355:Fibrosis; D021501:Flank Pain / Q000209:etiology; D007987:Gonadotropin-Releasing Hormone / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy; D018231:Leiomyomatosis / Q000150:complications / Q000601:surgery; D012008:Recurrence; D014513:Ureter / Q000473:pathology; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014567:Urography; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery
chemical_list: D007987:Gonadotropin-Releasing Hormone
vernacular_title: Uropatia ostruttiva secondaria ad endometriosi pelvica recidivante: descrizione di un caso clinico.