Ureteral obstruction due to retroperitoneal endometriosis: a conservative approach including surgery and GnRH analogs

Gynecol Endocrinol. 1996 Apr;10(2):129-31. doi: 10.3109/09513599609097903.

Abstract

Ureteral obstruction due to endometriosis is an infrequent condition which can be asymptomatic for a long time. Irreversible loss of renal function may result in cases with delayed diagnosis. Our report concerns a case of unilateral hydronephrosis and hypertension due to retroperitoneal endometriosis occurring in a 24-year-old woman. The management of patients bearing obstructive uropathy caused by endometriosis is discussed. In the present case, a conservative operation followed by medical treatment, including GnRH analogs, was used to preserve reproductive capacity.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Chemotherapy, Adjuvant
  • Contraceptives, Oral, Synthetic / therapeutic use
  • Desogestrel / therapeutic use
  • Endometriosis / complications*
  • Endometriosis / drug therapy
  • Endometriosis / surgery*
  • Estradiol Congeners / therapeutic use
  • Ethinyl Estradiol / therapeutic use
  • Female
  • Gonadotropin-Releasing Hormone / analogs & derivatives*
  • Humans
  • Hydronephrosis / etiology
  • Hypertension, Renal / etiology
  • Leuprolide / therapeutic use
  • Retroperitoneal Space / pathology*
  • Ureteral Obstruction / etiology*
  • Ureteral Obstruction / surgery

Substances

  • Antineoplastic Agents, Hormonal
  • Contraceptives, Oral, Synthetic
  • Estradiol Congeners
  • Gonadotropin-Releasing Hormone
  • Ethinyl Estradiol
  • Desogestrel
  • Leuprolide