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Endometriosis of the urinary tract.

Abstract

Genitourinary endometriosis is a rare manifestation of a common disease. Ectopic endometrial tissue may extrinsically involve or intrinsically invade the bladder or ureter, and, less commonly, the urethra or kidney. Bladder involvement usually presents with irritative symptoms, whereas ureteral disease may present with asymptomatic renal failure. Therefore, a high index of suspicion is necessary, and genitourinary endometriosis should be considered in all symptomatic women with a history of cesarean delivery of other gynecologic surgery. In women beyond reproductive age, definitive surgical treatment is preferred, with removal of the ectopic tissue, relief of obstruction, and castration with or without hysterectomy. In those who desire future fertility, conservative surgery and/or hormonal therapy is often recommended.

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  • Authors+Show Affiliations

    University of Arizona College of Medicine, P.O. Box 245077, 1501 N. Campbell Avenue, Tucson, AZ 85724, USA. ccomiter@u.arizona.edu

    Source

    MeSH

    Endometriosis
    Female
    Humans
    Urologic Diseases

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12476526

    Citation

    Comiter, Craig V.. "Endometriosis of the Urinary Tract." The Urologic Clinics of North America, vol. 29, no. 3, 2002, pp. 625-35.
    Comiter CV. Endometriosis of the urinary tract. Urol Clin North Am. 2002;29(3):625-35.
    Comiter, C. V. (2002). Endometriosis of the urinary tract. The Urologic Clinics of North America, 29(3), pp. 625-35.
    Comiter CV. Endometriosis of the Urinary Tract. Urol Clin North Am. 2002;29(3):625-35. PubMed PMID: 12476526.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Endometriosis of the urinary tract. A1 - Comiter,Craig V, PY - 2002/12/13/pubmed PY - 2003/1/1/medline PY - 2002/12/13/entrez SP - 625 EP - 35 JF - The Urologic clinics of North America JO - Urol. Clin. North Am. VL - 29 IS - 3 N2 - Genitourinary endometriosis is a rare manifestation of a common disease. Ectopic endometrial tissue may extrinsically involve or intrinsically invade the bladder or ureter, and, less commonly, the urethra or kidney. Bladder involvement usually presents with irritative symptoms, whereas ureteral disease may present with asymptomatic renal failure. Therefore, a high index of suspicion is necessary, and genitourinary endometriosis should be considered in all symptomatic women with a history of cesarean delivery of other gynecologic surgery. In women beyond reproductive age, definitive surgical treatment is preferred, with removal of the ectopic tissue, relief of obstruction, and castration with or without hysterectomy. In those who desire future fertility, conservative surgery and/or hormonal therapy is often recommended. SN - 0094-0143 UR - https://www.unboundmedicine.com/medline/citation/12476526/Endometriosis_of_the_urinary_tract_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0094-0143(02)00065-4 DB - PRIME DP - Unbound Medicine ER -