Urinary Tract Endometriosis.
Recently, occurrence of urinary tract endometriosis (UTE) is more frequently diagnosed. According to literature, it refers to approximately 0.3 to even 12% of all women with endometriosis. The pathogenesis of UTE has not been clearly explained so far. The actually proposed hypotheses include embryonic, migration, transplantation, and iatrogenic theory. Most frequently UTE affects bladder, less often ureters and kidneys. One-third of patients remains asymptomatic or exhibits only minor manifestations. In symptomatic patients main complaints include dysuria, urinary urgency, and/or frequency, painful micturition, and burning sensation in the urethra and discomfort in the retropubic area. Treatment of UTE is challenging and can be pharmacological, surgical or can be a combination of both methods. In this paper we present a review of the literature concerning the UTE, its diagnosis and treatment.
Department of Urology, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland.
Anna
A
Kołodziej
Department of Urology, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland. wk@softstar.pl.
Wojciech
W
Krajewski
Department of Urology, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland.
Łukasz
Ł
Dołowy
Department of Gynaecology, Wroclaw Medical University, ul. T. Chalubinskiego 3, 50-368 Wroclaw, Poland.
Lidia
L
Hirnle
D003937:Diagnosis, Differential; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D001743:Urinary Bladder / Q000473:pathology* / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000150:complications / Q000175:diagnosis*; D014554:Urination / Q000502:physiology*; D014555:Urination Disorders / Q000209:etiology*