| Abstrakt: |
A case of bilateral endometriosis of the ureter with bilateral ureteral obstruction is reported. Ureteroscopy failed to detect endometriosis, and only bilateral partial ureterecomy with end-to-end anastomosis revealed the diagnosis. Bilateral endometriosis is very rare. Either extrincic periureteral compression or intrinsic involvement of the ureteral wall causes ureteral obstruction, and may destroy the kidneys with few or no gynecological or urological symptoms. To facilitate early diagnosis and the initiation of appropriate therapy, the gynecologist should regularly search for clinical signs and symptoms of upper urinary tract obstruction in all women with genital endometriosis or a history of previous surgery for genital endometriosis. When renal ultrasound shows upper urinary tract dilatation, ureteral endometriosis should be suspected. The urologist should think of ureteral endometriosis in a premenopausal woman with unilateral or bilateral distal ureteral obstruction of unknown cause, especially when she suffers from genital endometriosis or has a history of this disease. [ABSTRACT FROM AUTHOR] |
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