Laparoscopic management of ureteral endometriosis.
OBJECTIVE
Severe endometriosis is a leading cause of infertility and pelvic pain and represents one of the most challenging cases in gynecology. Ureteral endometriosis is a rare entity that can lead to ureteral obstruction with subsequent hydroureter, dilatation of the renal pelvis till kidney failure. Laparoscopic management of these lesions is considered the treatment of choice.


RESULTS
A few studies offer new insights into the laparoscopic management of ureteral endometriosis and the most common surgical procedures are described.


CONCLUSIONS
In cases of moderate-severe hydronephrosis due to ureteral endometriosis, laparoscopic ureteral transection (ureterostomy or ureterocystoneostomy) provides good results with low recurrence rates.
Scioscia
Marco
M
Department of Obstetrics and Gynecology, Sacro Cuore Don Calabria General Hospital, Via Don A. Sempreboni, 5, Negrar 37024, Verona, Italy. marcoscioscia@gmail.com
Molon
Angelo
A
Grosso
Gaetano
G
Minelli
Luca
L
D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery*; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery; D011379:Prognosis; D012008:Recurrence; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000150:complications / Q000601:surgery*