title: Retrocervical deep infiltrating endometriotic lesions larger than thirty millimeters are associated with an increased rate of ureteral involvement.
abstract: OBJECTIVE
  To estimate the presence of ureteral involvement in deep infiltrating endometriosis (DIE) affecting the retrocervical area.
  
  
  METHODS
  Retrospective study of women undergoing laparoscopic treatment of DIE affecting the retrocervical area.
  
  
  METHODS
  Canadian Task Force classification II-3.
  
  
  METHODS
  Tertiary referral private hospital.
  
  
  METHODS
  We evaluated 118 women who underwent laparoscopy for the treatment of retrocervical DIE lesions between January 2010 and March 2012.
  
  
  METHODS
  All women underwent laparoscopic surgery for the complete treatment of DIE. After surgery all specimens were sent for pathologic examination to confirm the presence of endometriosis.
  
  
  METHODS
  Patients with pathologically-confirmed retrocervical DIE were divided into 2 groups according to the size of the lesion (group 1: lesions ≥ 30 mm; group 2: lesions < 30 mm) and the rate of ureteral endometriosis was compared between both groups.
  
  
  RESULTS
  Ureteral involvement was present in 17.9% (95% confidence interval [CI] 10%-29.9%) of women with retrocervical lesions ≥ 30 mm whereas in only 1.6% (95% CI 0.4%-8.5%) of those with lesions <30 mm (odds ratio = 13.3 [95% CI 1.6-107.3]).
  
  
  CONCLUSIONS
  Patients undergoing surgery for retrocervical DIE lesions ≥ 30 mm in diameter have a greater risk of having ureteral involvement (17.9%).
authors: Department of Gynecology, Sugisawa Medical Center, Curitiba, Paraná, Brazil. williamkondo@yahoo.com
authors: William
authors: W
authors: Kondo
authors: Anibal Wood
authors: AW
authors: Branco
authors: Carlos Henrique
authors: CH
authors: Trippia
authors: Reitan
authors: R
authors: Ribeiro
authors: Monica Tessmann
authors: MT
authors: Zomer
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy; D012189:Retrospective Studies; D012307:Risk Factors; D014515:Ureteral Diseases / Q000209:etiology* / Q000473:pathology