Urinary tract endometriosis: Review of 19 cases
| Autor: | Pramod Kumar Sharma, Suresh Kumar, Punit Tiwari, Mukesh Kumar Vijay, Anup K. Kundu, Jitendra P Singh, Malay Kumar Bera, Amit Kumar Goel, Sandeep Gupta |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Ureterectomy Urology medicine.medical_treatment Urinary system Endometriosis Renal function partial cystectomy reimplantation Ureterolysis lcsh:RC870-923 Cystectomy Ureter ureteric endometriosis transurethral resection Medicine Laparoscopic ureterolysis business.industry vesical endometriosis lcsh:Diseases of the genitourinary system. Urology medicine.disease medicine.anatomical_structure Original Article Histopathology business |
| Zdroj: | Urology Annals, Vol 4, Iss 1, Pp 6-12 (2012) Urology Annals |
| ISSN: | 0974-7796 |
| Popis: | Aim: The aim of our study was to evaluate the treatment outcomes of medical and surgical management of urinary tract endometriosis. Materials and 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%. Conclusion: 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. |
| Databáze: | OpenAIRE |
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