Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases

Objective: To review articles highlighting the effectiveness of conservative laparoscopic ureterolysis as a primary treatment option in patients with ureteric endometriosis and to report on a further three cases. Patients and methods: PubMed, EMBASE, Cochrane database were searched to identify artic...

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Autores principales:	Deepa Talreja, Vivek Salunke, Shinjini Pande, Chirag Gupta
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/dd40eb5df2174243952581f052810c65
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spelling	oai:doaj.org-article:dd40eb5df2174243952581f052810c652021-12-02T13:03:32ZSuccessful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases2090-598X10.1016/j.aju.2018.03.001https://doaj.org/article/dd40eb5df2174243952581f052810c652018-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18300354https://doaj.org/toc/2090-598XObjective: To review articles highlighting the effectiveness of conservative laparoscopic ureterolysis as a primary treatment option in patients with ureteric endometriosis and to report on a further three cases. Patients and methods: PubMed, EMBASE, Cochrane database were searched to identify articles reporting cases of laparoscopic management of ureteric endometriosis and, in particular management by ureterolysis. We further described three new cases of ureteric endometriosis managed at our institute. Results: The present study illustrates the significance of laparoscopic ureterolysis in the management of patients with ureteric endometriosis. In our cases, a systematic surgical approach was followed in order to perform complete but careful excision of the all visible endometriotic implants. During follow-up successful treatment was established by relief of hydroureteronephrosis by ultrasonographic evaluation. Conclusion: Considering the risk of loss of renal function and due to the nonspecific symptoms, a prompt clinical suspicion and thorough preoperative assessment can potentially help in the diagnosis. We conclude that laparoscopic ureterolysis is a minimally invasive technique with low complication and recurrence rates. It is a suitable option as a primary approach for selected patients with ureteric endometriosis, if done in a systematic step-by-step approach. Keywords: Ureteric endometriosis, Laparoscopic ureterolysis, HydronephrosisDeepa TalrejaVivek SalunkeShinjini PandeChirag GuptaTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss 3, Pp 342-349 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Deepa Talreja Vivek Salunke Shinjini Pande Chirag Gupta Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
description	Objective: To review articles highlighting the effectiveness of conservative laparoscopic ureterolysis as a primary treatment option in patients with ureteric endometriosis and to report on a further three cases. Patients and methods: PubMed, EMBASE, Cochrane database were searched to identify articles reporting cases of laparoscopic management of ureteric endometriosis and, in particular management by ureterolysis. We further described three new cases of ureteric endometriosis managed at our institute. Results: The present study illustrates the significance of laparoscopic ureterolysis in the management of patients with ureteric endometriosis. In our cases, a systematic surgical approach was followed in order to perform complete but careful excision of the all visible endometriotic implants. During follow-up successful treatment was established by relief of hydroureteronephrosis by ultrasonographic evaluation. Conclusion: Considering the risk of loss of renal function and due to the nonspecific symptoms, a prompt clinical suspicion and thorough preoperative assessment can potentially help in the diagnosis. We conclude that laparoscopic ureterolysis is a minimally invasive technique with low complication and recurrence rates. It is a suitable option as a primary approach for selected patients with ureteric endometriosis, if done in a systematic step-by-step approach. Keywords: Ureteric endometriosis, Laparoscopic ureterolysis, Hydronephrosis
format	article
author	Deepa Talreja Vivek Salunke Shinjini Pande Chirag Gupta
author_facet	Deepa Talreja Vivek Salunke Shinjini Pande Chirag Gupta
author_sort	Deepa Talreja
title	Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
title_short	Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
title_full	Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
title_fullStr	Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
title_full_unstemmed	Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
title_sort	successful management of ureteric endometriosis by laparoscopic ureterolysis – a review and report of three further cases
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/dd40eb5df2174243952581f052810c65
work_keys_str_mv	AT deepatalreja successfulmanagementofuretericendometriosisbylaparoscopicureterolysisareviewandreportofthreefurthercases AT viveksalunke successfulmanagementofuretericendometriosisbylaparoscopicureterolysisareviewandreportofthreefurthercases AT shinjinipande successfulmanagementofuretericendometriosisbylaparoscopicureterolysisareviewandreportofthreefurthercases AT chiraggupta successfulmanagementofuretericendometriosisbylaparoscopicureterolysisareviewandreportofthreefurthercases
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Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases

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