title: [Urinary diversion in a case of bilateral ureteral endometriosis].
abstract: Endometriosis of the urinary tract is uncommon. We report a case of bilateral ureteral endometriosis. A 46-years-old woman was presented with facial edema. The level of blood urea nitrogen and creatinine were 52 and 4.83 mg/dl respectively at the first examination. Retrograde urography demonstrated bilateral hydronephrosis with distal ureteral obstruction and MRI (magnetic resonance imaging) showed left ovarian cyst. CA125 level was 93 U/ml. We diagnosed the case as ureteral endometriosis by exploratory laparotomy. After 16 month of gonadotropin-releasing hormone analogue therapy and ureteral dilation with catheter, she underwent end-to-side uretero-ureterostomy with ureteral reimplantation (psoas hitch). Bilateral hydronephrosis and renal function were improved after the operation. The case was suspected of extrinsic type ureteral endometriosis.
authors.affiliation: Department of Urology, Niigata Prefectural Yoshida Hospital.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tasaki
authors.forename: Michihiro
authors.initials: M
authors.lastname: Suwa
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Imai
mesh_terms: D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D008875:Middle Aged; D014515:Ureteral Diseases / Q000150:complications / Q000601:surgery*; D014517:Ureteral Obstruction / Q000150:complications / Q000601:surgery; D014547:Urinary Diversion