AbbreviationsBEbladder endometriosisDIEdeep infiltrating endometriosisNPVnegative predictive valuePCpartial cystectomyPPVpositive predictive valueTVStransvaginal sonographyUCNureterocystostomyUEureteral endometriosisULDureterolysis and decompressionURAureteral resection anastomosisUTEurinary tract endometriosisKey MessageLaproscopic partial cystectomy is a safe therapeutic option for treatment of deep infiltrating endometriosis affecting the bladder and can be based on transvaginal sonography findings. Ureterolysis and decompression is feasible in the majority of women with deep infiltrating endometriosis causing hydronephrosis.IntroductionDeep infiltrating endometriosis (DIE) is defined as infiltrative growth of extrauterine endometrial glands and stroma extending below the peritoneal surface >5 mm . In 19–53% of patients with DIE, the urogenital tract, i.e. the urinary bladder and/or ureters, is affected, often causing ureteric obstruction and secondary hydronephrosis . Within this group, bladder endometriosis (BE) appears to occur more frequently than ureteral endometriosis (UE) or hydronephrosis . Symptoms related to BE often include urinary frequency, urgency, bladder pain, dysuria and hematuria, but these are not necessarily present in all patients with bladder disease . In addition, secondary hydronephrosis does not occur abruptly but as a slowly progressing obstructive mechanism thereby often lacking symptoms such as flank pain . It has therefore been suggested to include kidney scans in women with suspected DIE in order to rule out secondary hydronephrosis. Transvaginal sonography (TVS) has
Acta Obstetricia Et Gynecologica Scandinavica – Wiley
Published: Jan 1, 2018
Keywords: ; ; ; ;
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