Analysis of diagnosis and therapy for seven cases of urinary tract endometriosis / 中国医师进修杂志

ABSTRACT

Objective To investigate the method of clinical diagnosis and treatment for urinary tract endometriosis (UTE).Methods The clinical data of 7 patients with UTE were analyzed retrospectively.Mean age was 36.5-year old.Two cases were diagnosed by taking cystoscopic biopsy tissue,the others were confirmed by intraoperative and postoperative pathology.Under the adjuvant treatment of endocrine,2 patients were performed partial cystectomy and ureteral resection and end-to-end anastomosis in 4 patients,1 patient undertook ureteric reimplantation.Results Among 7 patients,2 patients had endometrial ectopic bladder,4 patients had endometrial ectopic ureter,1 patient had endometrisis of bladder and urter.After operation,no leak and recurrence occurred 2-3 years of follow-up.Conclusions UTE is rarely seen and usually escape the attention of the physicians,endocrine therapy with surgical resection is the primary method.Choice of surgical approach should be based on a variety of factors lesion location,scope,depth,bilateral renal function,etc.