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Ureteral endometriosis in patients with deep infiltrating endometriosis: characteristics and management from a single-center retrospective study.
Hu, Zhijun; Li, Peiquan; Liu, Qing; Zhu, Hong; Sun, Yuxin; Zhao, Xuanxuan; Xie, Lei; Liu, Kaijiang.
Afiliação
  • Hu Z; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Li P; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Liu Q; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Zhu H; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Sun Y; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Zhao X; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Xie L; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China.
  • Liu K; Department of Gynecologic Oncology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 145 Shandong Middle Road, Shanghai, 200000, China. liukaijiang@263.net.
Arch Gynecol Obstet ; 300(4): 967-973, 2019 10.
Article em En | MEDLINE | ID: mdl-31494695
PURPOSE: As a serious type of deep infiltrating endometriosis (DIE), ureteral endometriosis (UE) can result in decreased kidney function. The aims of this study are to investigate risk factors and surgical treatments for UE. METHODS: The study enrolled 329 patients with deep infiltrating endometriosis, who were treated with laparoscopic surgery between January 2014 to September 2018. All patients were divided into one of two groups: UE or non-UE. Clinical information and other surgery variables of the two groups were examined. RESULT: Out of 329 patients with DIE, 68 (20.67%) cases of UE were diagnosed. Among them, 37 patients also had hydroureteronephrosis. In a multivariate analysis, the variables revised American Fertility Society (rAFS) stage IV, uterosacral ligament (USL) DIE lesion ≥ 3 cm in diameter and previous surgery for endometriosis significantly increased the risk of UE. A total of 27.03% (10/37) of patients with UE and hydroureteronephrosis showed decreased kidney function. Ureterolysis was performed in 59 patients, and an ureteroneocystostomy was performed in 9 patients. A double-J stent was placed in 37 patients with UE. Only 1 patient developed acute pyelonephritis postoperatively. During more than 2 years of follow-up, no patient experienced recurrence. CONCLUSIONS: The variables of rAFS stage IV, USL DIE lesion ≥ 3 cm in diameter and previous surgery for endometriosis significantly increased the risk of UE. Laparoscopic ureterolysis and ureteroneocystostomy are feasible and safe procedures with low complication and recurrence rates.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ureter / Doenças Ureterais / Endometriose Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ureter / Doenças Ureterais / Endometriose Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Middle aged Idioma: En Revista: Arch Gynecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China