CC-BY 4.0 · Surg J 2017; 03(04): e167-e173
DOI: 10.1055/s-0037-1607296
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Laparoscopic Ureteral Reimplantation in Endometriosis: A Severe Case

Garri Tchartchian
1  Klinik für Minimal Invasive Chirurgie, Berlin-Zehlendorf, Germany
,
Paul G. Fabricius
1  Klinik für Minimal Invasive Chirurgie, Berlin-Zehlendorf, Germany
,
Bernd Bojahr
2  Klinik für Frauenheilkunde und Brustzentrum, Universitätsklinikum Greifswald, Greifswald, Germany
,
Rudy L. De Wilde
3  Klinik für Frauenheilkunde, Geburtshilfe und Gynäkologische Onkologie, Universitätsklinik für Gynäkologie, Pius-Hospital, Oldenburg, Germany
› Author Affiliations
Further Information

Publication History

04 December 2016

05 September 2017

Publication Date:
27 November 2017 (online)

Abstract

In aggressive cases, endometriosis can perturb the urogenital tract, in particular the ureter, which can potentially result in ureteral compression or stenosis. Even though this is rare, consequences are dramatic, such as hydronephrosis or organ failure. The present standard intervention comprises the resection of affected tissues and endometriosis foci combined with adjuvant hormonal therapy. When the ureter does not recover, ureteral reimplantation is required. The present case describes the successful laparoscopic approach of the reimplantation of the ureter with simultaneous cystoscopy.