| Autor: |
Abdulelah lAdimi, Nabil AlOdaini, Atef M. M. Darwish |
| Jazyk: |
English<br />Korean |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Journal of Medicine and Life Science, Vol 19, Iss 3, Pp 116-120 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2671-4922 |
| DOI: |
10.22730/jmls.2022.19.3.116 |
| Popis: |
Objective: To estimate the efficacy of sequential treatment of bladder endometriosis (BE) of the vesicoureteric junction using transurethral resection (TUR) and hormonal therapy. Design: Case report. Setting: Private multispecialty hospital. Patient: A multiparous woman presented with perimenstrual lower urinary tract symptoms, cyclic chronic pelvic pain, and left loin pain. Intervention[s]: Ultrasonography revealed marked left renal dilatation. Computed tomography confirmed the presence of a bladder mass. A diagnostic cystoscopy revealed compression of the left vesicoureteral junction. Complete TUR BE with release of chocolate material during resection, followed by ureteric double J stent insertion for 3 months, was performed. Histopathology confirmed the diagnosis of BE, followed by adjuvant hormonal therapy (dienogest) for 3 months. Followup for about 2 years revealed complete relief of the symptoms without any recurrence. Main Outcome Measure[s]. Success and recurrence rates of sequential TUR and hormonal therapy of BE of the vesicoureteric junction. Result[s]. TUR BE followed by adjuvant hormonal therapy was very effective in eradicating BE of the vesicoureteric junction in a safe manner without recurrence on follow-up for 2 years. Conclusion[s]. BE of the vesicoureteric junction can be properly treated by sequential TUR and hormonal therapy without recurrence over a 2-year follow-up. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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