Urinary tract involvement in
endometriosis involves presence of endometriosis deposits within or around the
bladder, ureters, urethra, or kidney. Gynecologist salary - Urethral
lesions may cause major morbidity as silent loss of renal function is common in
these patients. Symptoms related to pelvic endometriosis and/or of urinary
involvement maybe often nonspecific. The most common findings include menstrual
symptoms, flank pain, gross hematuria, and pelvic mass. Ureteric obstruction
resulting in hydronephrosis is a rare manifestation of ureteric endometriosis.
It occurs as a consequence of intrinsic involvement within the ureteric, or
from extrinsic compression of the ureteric by a pelvic endometrioma. In cases
of intrinsic involvement, ectopic endometrial tissue is present within the
muscular is propria, lamina propriety or ureteric lumen.
Gynecologist
salary - In extrinsic cases endometriosis occurs within the ureteric adventitia
and adjacent soft tissues only.
Extrinsic involvement is approximately 4
times more common than intrinsic disease. Deeply infiltrating Endometriosis
(DIE) most commonly invades the rectovaginal space, uterosacral ligaments,
bowel or urinary tract. Our case was a DIE because of the bilateral ureteric
involvement. Diagnosis of ureteric endometriosis is elusive and relies heavily
on clinical suspicion. In our case Gynecologist salary, patient
complained of hesitancy of maturation typically during menses which is a rather
uncommon presentation of ureteric endometriosis. This symptom could be
explained by enlargement of active endometriosis tissue around the ureters.
Since ureteric endometriosis occurs commonly with pelvic endometriosis there is
a need for multidisciplinary management. Progressive ureteric obstruction can
be insidious and bilateral compromise of ureters may ultimately lead to renal
failure. 30% of patients will have reduced kidney function at the time of
diagnosis that may result in silent kidney loss.
