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Prevalence and management of urinary tract endometriosis: A clinical case series

Show simple item record Gabriel B. Nassif J. Trompoukis P. Barata S. Wattiez A.
dc.contributor.editor Dec-2011 2017-10-05T15:46:50Z 2017-10-05T15:46:50Z 2011
dc.identifier 10.1016/j.urology.2011.07.1403
dc.identifier.issn 00904295
dc.description.abstract Objective: To report on the prevalence, surgical management, and outcome of urinary tract endometriosis (UTE) in a cohort of 221 patients undergoing laparoscopic surgery for severe endometriosis. UTE can cause significant morbidity, such as silent kidney or progressive renal function loss. Its frequency is underestimated and data on laparoscopic management are scarce. Methods: Between 2007 and 2010, 43 patients were eligible for this single-center, retrospective study. The inclusion criterion was the presence of UTE (ie, bladder and-or ureteral endometriosis). All patients were operated laparoscopically. Results: The prevalence of UTE was 19.5percent (43-221). There was no correlation between bladder and ureteral endometriosis (P .05). Ureteral endometriosis was associated with patient's age (P .01). Patients with bladder, but not ureteral, involvement complained more frequently about dysuria, hematuria, and urinary tract infections. Intraoperative and magnetic resonance imaging (MRI) findings revealed a moderate to good correlation. UTE was not associated with rectovaginal or bowel endometriosis, but rather with involvement of the uterosacral ligaments (P .01). Twenty-two patients with bladder endometriosis were treated by mucosal skinning and 11 patients underwent partial cystectomy. Superficial ureteral excision was performed in 4 patients, whereas resection with ureteroureterostomy was done in 9 patients. There was no difference regarding the intra- and postoperative complications in patients with or without UTE. Conclusion: In severe pelvic endometriosis, involvement of the urinary tract is quite common. Laparoscopic management is feasible and safe. Because of the lack of specific symptoms, the preoperative diagnosis of ureteral endometriosis still remains a challenge. Pelvic MRI represents a useful preoperative diagnostic tool. © 2011 Elsevier Inc.
dc.format.extent Pages: (1269-1274)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: Urology; Publication Year: 2011; Volume: 78; no. 6; Pages: (1269-1274);
dc.source Scopus
dc.title Prevalence and management of urinary tract endometriosis: A clinical case series
dc.type Article
dc.contributor.affiliation Gabriel, B., Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD-EITS, Strasbourg, France, Universitts-Frauenklinik Freiburg, Hugstetter St. 55, 79106, Freiburg, Germany
dc.contributor.affiliation Nassif, J., Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD-EITS, Strasbourg, France, American University of Beirut Medical Center, Obstetrics and Gynecology Department, Beirut, Lebanon
dc.contributor.affiliation Trompoukis, P., Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD-EITS, Strasbourg, France
dc.contributor.affiliation Barata, S., Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD-EITS, Strasbourg, France
dc.contributor.affiliation Wattiez, A., Department of Gynecologic Surgery, Strasbourg University Hospital Hautepierre and CMCO, IRCAD-EITS, Strasbourg, France
dc.contributor.authorAddress Gabriel, B.; Universitts-Frauenklinik Freiburg, Hugstetter St. 55, 79106, Freiburg, Germany; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials Gabriel, B
dc.contributor.authorInitials Nassif, J
dc.contributor.authorInitials Trompoukis, P
dc.contributor.authorInitials Barata, S
dc.contributor.authorInitials Wattiez, A
dc.contributor.authorReprintAddress Gabriel, B (reprint author), Univ Frauenklin Freiburg, Hugstetter St 55, D-79106 Freiburg, Germany.
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 12
dc.description.citedTotWOSCount 12
dc.description.citedWOSCount 12
dc.format.extentCount 6
dc.identifier.coden URGYA
dc.identifier.pubmedID 21962747
dc.identifier.scopusID 82955182152
dc.publisher.address 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA
dc.relation.ispartOfISOAbbr Urology
dc.relation.ispartOfIssue 6
dc.relation.ispartofPubTitle Urology
dc.relation.ispartofPubTitleAbbr Urology
dc.relation.ispartOfVolume 78
dc.source.ID WOS:000298006700015
dc.type.publication Journal
dc.subject.otherIndex adult
dc.subject.otherIndex age distribution
dc.subject.otherIndex article
dc.subject.otherIndex bladder disease
dc.subject.otherIndex bladder endometriosis
dc.subject.otherIndex case study
dc.subject.otherIndex cohort analysis
dc.subject.otherIndex correlation analysis
dc.subject.otherIndex cystectomy
dc.subject.otherIndex disease association
dc.subject.otherIndex dysuria
dc.subject.otherIndex endometriosis
dc.subject.otherIndex female
dc.subject.otherIndex hematuria
dc.subject.otherIndex human
dc.subject.otherIndex intraoperative period
dc.subject.otherIndex laparoscopic surgery
dc.subject.otherIndex major clinical study
dc.subject.otherIndex nuclear magnetic resonance imaging
dc.subject.otherIndex peroperative complication
dc.subject.otherIndex postoperative complication
dc.subject.otherIndex priority journal
dc.subject.otherIndex retrospective study
dc.subject.otherIndex ureter disease
dc.subject.otherIndex ureter endometriosis
dc.subject.otherIndex ureter surgery
dc.subject.otherIndex ureteroureterostomy
dc.subject.otherIndex urinary tract disease
dc.subject.otherIndex urinary tract endometriosis
dc.subject.otherIndex urinary tract infection
dc.subject.otherIndex urinary tract surgery
dc.subject.otherIndex Adult
dc.subject.otherIndex Age Factors
dc.subject.otherIndex Cystectomy
dc.subject.otherIndex Dysuria
dc.subject.otherIndex Endometriosis
dc.subject.otherIndex Female
dc.subject.otherIndex Hematuria
dc.subject.otherIndex Humans
dc.subject.otherIndex Laparoscopy
dc.subject.otherIndex Length of Stay
dc.subject.otherIndex Magnetic Resonance Imaging
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Pelvic Pain
dc.subject.otherIndex Prevalence
dc.subject.otherIndex Retrospective Studies
dc.subject.otherIndex Stents
dc.subject.otherIndex Ureteral Diseases
dc.subject.otherIndex Ureterostomy
dc.subject.otherIndex Urinary Bladder Diseases
dc.subject.otherIndex Urinary Tract Infections
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus URETERAL ENDOMETRIOSIS
dc.subject.otherKeywordPlus PSOAS-HITCH
dc.subject.otherKeywordPlus LAPAROSCOPIC MANAGEMENT
dc.subject.otherKeywordPlus BLADDER ENDOMETRIOSIS
dc.subject.otherKeywordPlus REIMPLANTATION
dc.subject.otherKeywordPlus ADENOMYOSIS
dc.subject.otherWOS Urology and Nephrology

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