title: Urinary tract endometriosis: Review of 19 cases.
abstract: OBJECTIVE
  The aim of our study was to evaluate the treatment outcomes of medical and surgical management of urinary tract endometriosis.
  
  
  METHODS
  Urinary tract endometriosis patients enrolled between Jan 2006 and May 2010 were retrospectively reviewed. Preoperative datas (mode of presentation, diagnosis, imaging), intraoperative findings (location and size of lesion), postoperative histopathology and follow-up were recorded and results were analyzed and the success rate of different modalities of treatment was calculated.
  
  
  RESULTS
  In our study, of nineteen patients, nine had vesical involvement and ten had ureteric involvement. Among the vesical group, the success rate of transurethral resection followed by injection leuproide was 60% (3/5), while among the partial cystectomy group, the success rate was 100%. Among patients with ureteric involvement, success rate of distal ureterectomy and reimplantation was 100%, laparoscopic ureterolysis with Double J stenting followed by injection leuprolide was 75% while that of Gonadotropin- releasing hormone (GnRh) analogue alone was 67%.
  
  
  CONCLUSIONS
  One should have a high index of suspicion with irritative voiding symptoms with or without hematuria, with negative urine culture, in all premenopausal women to diagnose urinary tract endometriosis. Partial cystectomy is a better alternative to transurethral resection followed by GnRh analogue in vesical endometriosis. Approach to the ureter must be individualised depending upon the severity of disease and dilatation of the upper tract to maximise the preservation of renal function.
authors.affiliation: Department of Urology, IPGME and R, SSKM Hospital, Kolkata, India.
authors.forename: Suresh
authors.initials: S
authors.lastname: Kumar
authors.forename: Punit
authors.initials: P
authors.lastname: Tiwari
authors.forename: Pramod
authors.initials: P
authors.lastname: Sharma
authors.forename: Amit
authors.initials: A
authors.lastname: Goel
authors.forename: Jitendra P
authors.initials: JP
authors.lastname: Singh
authors.forename: Mukesh K
authors.initials: MK
authors.lastname: Vijay
authors.forename: Sandeep
authors.initials: S
authors.lastname: Gupta
authors.forename: Malay K
authors.initials: MK
authors.lastname: Bera
authors.forename: Anup K
authors.initials: AK
authors.lastname: Kundu