Department of Obstetrics and Gynecology, La Paz University Hospital, Madrid, Spain.
Eur J Obstet Gynecol Reprod Biol. 2013 Nov;171(1):132-7. doi: 10.1016/j.ejogrb.2013.08.022. Epub 2013 Aug 19.
To report the impact that urinary tract endometriosis may have on renal function. Ureteral endometriosis is an uncommon and silent cause of renal injury. It is therefore very important to be highly suspicious in order to be able to make an early diagnosis and thus prevent renal failure.
Case reports of the management and outcome of three cases of premenopausal women with deep endometriosis affecting the ureter, associated with secondary unilateral complete loss of renal function.
Ureteral involvement by endometriosis is a rare and often silent disease which is capable of producing significant morbidity, as it can lead to hydronephrosis and ultimately to renal failure. Because of the lack of specific symptoms and the limitations of imaging methods, a high index of suspicion is necessary to obtain an early diagnosis. On diagnosis of deep infiltrating endometriosis, urinary tract ultrasound is a screening tool to detect ureterohydronephrosis due to ureteral obstruction. MRI is of value to map the extent of disease. Surgery is the treatment of choice to remove endometriotic lesions and relieve ureteral obstruction if the kidney is still functional, or to perform a nephrectomy if there is a complete loss of renal function.
报告泌尿道子宫内膜异位症可能对肾功能产生的影响。输尿管子宫内膜异位症是一种不常见且无症状的肾损伤原因。因此，高度怀疑非常重要，以便能够进行早期诊断，从而防止肾衰竭。
报告三例绝经前妇女的管理和结果，这些妇女患有深部子宫内膜异位症影响输尿管，伴有继发性单侧完全肾功能丧失。
输尿管受累的子宫内膜异位症是一种罕见且常无症状的疾病，可能导致严重的发病率，因为它可导致肾积水并最终导致肾衰竭。由于缺乏特异性症状和影像学方法的局限性，需要高度怀疑以获得早期诊断。在深部浸润性子宫内膜异位症的诊断中，尿路超声是检测因输尿管梗阻引起的输尿管积水的筛查工具。MRI 有助于评估疾病的范围。手术是治疗深部浸润性子宫内膜异位症的首选方法，如果肾脏仍有功能，则切除子宫内膜异位病灶和解除输尿管梗阻；如果完全丧失肾功能，则进行肾切除术。
