EndometriosisConservative laparoscopic management of urinary tract endometriosis (UTE): surgical outcome and long-term follow-up
Section snippets
Materials and methods
Full ethical approval of the study protocol was obtained from the local ethics committee.
Between January 2001 and June 2005, 74 consecutive women underwent conservative laparoscopic treatment of urinary tract endometriosis in the Minimally Invasive Gynecologic Surgery Unit of S. Orsola University Hospital in Bologna, a tertiary-level referral center for management of patients with advanced endometriosis. For bladder endometriosis, diagnosis was confirmed when endometrial glands and stroma were
Results
Among the 74 patients confirmed to have UTE and who agreed to be enrolled, 18 women were lost to follow-up and were excluded from the study (five women got pregnant during the first 6 months after surgery, eight women decided to use hormonal treatment for contraceptive purposes during follow-up, and five did not show for follow-up visits). Fifty-six patients were included in the study population: 26 patients had bladder endometriosis, 15 ureteral involvement, and 15 patients had both ureteral
Discussion
The results of this study with a mean follow-up of 3 years support the conclusion that conservative laparoscopic surgical treatment for urinary tract endometriosis provides long-term relief of symptoms and a low rate of anatomic recurrence.
Regarding long-term follow-up, few studies have reported on postoperative evaluation of anatomic relapse and symptom recurrence (Table 3). To the best of our knowledge, the present study is one of the largest series to address specifically surgical outcome
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2021, Journal of Minimally Invasive GynecologyCitation Excerpt :LUTS were evaluated in 18 studies [10–15,17–23,25–27,29,30], and its prevalence was 21.3% (200 of 937). Ureteral obstructive symptoms, such as lumbar or flank pain, were reported in 14 studies [10–15,17–20,25,26,29,30] and were present in 9.9% (54 of 545) of patients. Ureterohydronephrosis was cited in 19 studies with a total of 1183 patients [9–14,17–24,26,28–30], and it was found in 50.0% (592 of 1183) of patients, ranging from 6% [10] to 100% [11,13,17,18,23].
Use of Indocyanine Green for Intraoperative Perfusion Assessment in Women with Ureteral Endometriosis: A Preliminary Study.
2021, Journal of Minimally Invasive Gynecology
R.S. has nothing to disclose. M.M. has nothing to disclose. G.M. has nothing to disclose. L.M. has nothing to disclose. S.C. has nothing to disclose. S.V. has nothing to disclose.