Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis
Objective. Endometriosis is an estrogendependent disease. The incidence of urinary tract endometriosis (UE) increased during the last few years and, nowadays, it ranges from 0.3 to 12% of all women affected by the disease. The ureter is the second most common site affected. The ureteral endometriosi...
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doaj-7c73d8b51bd14f3c9c4e7f0302ad24ee2020-11-25T03:20:55ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972016-12-0188426626910.4081/aiua.2016.4.2665084Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysisSalvatore Butticè0Antonio Simone Laganà1Giuseppe Mucciardi2Francesco Marson3Tzevat Tefik4Christopher Netsch5Salvatore Giovanni Vitale6Emre Sener7Rosa Pappalardo8Carlo Magno9Department of Human Phatology, Section of Urology, University of Messina, MessinaUnit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, MessinaDepartment of Human Phatology, Section of Urology, University of Messina, MessinaDepartment of Urology, University of Studies of Torino, TorinoDepartment of Urology, Istanbul University, Istanbul Faculty of Medicine, IstanbulDepartment of Urology, Asklepios Hospital Barmbek, HamburgUnit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, MessinaDepartment of Urology, School of Medicine, Marmara University, IstanbulDepartment of Human Phatology, Section of Urology, University of Messina, MessinaDepartment of Human Phatology, Section of Urology, University of Messina, MessinaObjective. Endometriosis is an estrogendependent disease. The incidence of urinary tract endometriosis (UE) increased during the last few years and, nowadays, it ranges from 0.3 to 12% of all women affected by the disease. The ureter is the second most common site affected. The ureteral endometriosis is classified in extrinsic and intrinsic. The aim of this study is to individuate the best treatments for each subset of ureteral endometriosis. Materials and Methods. 32 patients diagnosed with surgically treated UE were retrospectively reviewed. The patients were divided into 3 subsets (intrinsic UE, extrinsic UE with and without obstruction). The patients with intrinsic UE (n = 10) were treated with laser endoureterotomy. The patients with extrinsic UE (n = 22) were divided in two subsets with (n = 16) and without (n = 6) hydronephrosis. All the patients underwent ureteral stenting, and resection and reimplantation was performed in the first group, and when the mass was > 2.5 cm (n = 3) Boari flap was performed. Laparoscopic ureterolysis (shaving) was performed in the second group. Results. In the extrinsic subset of UE, we obtained an high therapeutic success (84%). Conversely, in the intrinsic subset there was a recurrence rate of the disease in 6/10 of the patients (60%). Conclusions. Ureterolysis seems to be a good treatment in extrinsic UE without obstruction. Resection and reimplantation allows excellent results in the extrinsic UE with obstruction. In the intrinsic subset, the endoureterotomy approach is inadequate.http://www.pagepressjournals.org/index.php/aiua/article/view/5910Ureteral endometriosisLaparoscopic ureterolysisLaser endoureterotomyUreteral reimplantationLaparoscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Salvatore Butticè Antonio Simone Laganà Giuseppe Mucciardi Francesco Marson Tzevat Tefik Christopher Netsch Salvatore Giovanni Vitale Emre Sener Rosa Pappalardo Carlo Magno |
spellingShingle |
Salvatore Butticè Antonio Simone Laganà Giuseppe Mucciardi Francesco Marson Tzevat Tefik Christopher Netsch Salvatore Giovanni Vitale Emre Sener Rosa Pappalardo Carlo Magno Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis Archivio Italiano di Urologia e Andrologia Ureteral endometriosis Laparoscopic ureterolysis Laser endoureterotomy Ureteral reimplantation Laparoscopy |
author_facet |
Salvatore Butticè Antonio Simone Laganà Giuseppe Mucciardi Francesco Marson Tzevat Tefik Christopher Netsch Salvatore Giovanni Vitale Emre Sener Rosa Pappalardo Carlo Magno |
author_sort |
Salvatore Butticè |
title |
Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis |
title_short |
Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis |
title_full |
Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis |
title_fullStr |
Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis |
title_full_unstemmed |
Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis |
title_sort |
different patterns of pelvic ureteral endometriosis. what is the best treatment? results of a retrospective analysis |
publisher |
PAGEPress Publications |
series |
Archivio Italiano di Urologia e Andrologia |
issn |
1124-3562 2282-4197 |
publishDate |
2016-12-01 |
description |
Objective. Endometriosis is an estrogendependent disease. The incidence of urinary tract endometriosis (UE) increased during the last few years and, nowadays, it ranges from 0.3 to 12% of all women affected by the disease. The ureter is the second most common site affected. The ureteral endometriosis is classified in extrinsic and intrinsic. The aim of this study is to individuate the best treatments for each subset of ureteral endometriosis. Materials and Methods. 32 patients diagnosed with surgically treated UE were retrospectively reviewed. The patients were divided into 3 subsets (intrinsic UE, extrinsic UE with and without obstruction). The patients with intrinsic UE (n = 10) were treated with laser endoureterotomy. The patients with extrinsic UE (n = 22) were divided in two subsets with (n = 16) and without (n = 6) hydronephrosis. All the patients underwent ureteral stenting, and resection and reimplantation was performed in the first group, and when the mass was > 2.5 cm (n = 3) Boari flap was performed. Laparoscopic ureterolysis (shaving) was performed in the second group. Results. In the extrinsic subset of UE, we obtained an high therapeutic success (84%). Conversely, in the intrinsic subset there was a recurrence rate of the disease in 6/10 of the patients (60%). Conclusions. Ureterolysis seems to be a good treatment in extrinsic UE without obstruction. Resection and reimplantation allows excellent results in the extrinsic UE with obstruction. In the intrinsic subset, the endoureterotomy approach is inadequate. |
topic |
Ureteral endometriosis Laparoscopic ureterolysis Laser endoureterotomy Ureteral reimplantation Laparoscopy |
url |
http://www.pagepressjournals.org/index.php/aiua/article/view/5910 |
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