Abstract

FERNANDEZ MARICHAL, Fernando S.; TOIRAN GARCIA, Rafael; VARELA ALVAREZ, Ahimara  and  SEGURA ROQUE, Orlando. Debut endometriosis with urinary manifestations: report of two cases. AMC [online]. 2015, vol.19, n.1, pp.66-72. ISSN 1025-0255.

Background: endometriosis is a benign condition that affects 15 to 20 % of women in fertile state. It generally affects organs like ovaries, uterine ligaments, fallopian tubes, rectum, and the cervico-vaginal region. However, the probability of it affecting the urinary tract is uncommon and happens only in the 1 % of the patients. Clinical cases: two cases of endometriosis are presented. One of the cases presented the endometriosis in the right fallopian tube and the other one in the bladder. In the first case the renal function was compromised; the ultrasound and cytoscopy were essential in the diagnosis. The exploratory laparotomy and pathological anatomy were conclusive. One of the patients underwent a tumorectomy, an oophorectomy, a remodeling of the urethral diameter, and a reimplantation with anti reflux technique. The second case underwent an exploratory cystotomy with exeresis of a tumor in the left hemitrigono and conservation of the ureteral meatus in its anatomical position. Both patients were discharged from hospital; the first patient 19 days later and the second one 72 hours later. A follow-up care was established. Conclusions: the endometriosis that affects urinary tracts is not very frequent but it can appear with non-specific urinary manifestations, dysmenorrhea and hematuria. It can be diagnosed through endoscopic and imaging studies of the urinary tract and can even cause irreversible injuries in the renal and reproductive functions.

Keywords : ENDOMETRIOSIS [surgery]; CYSTOTOMY; OVARIECTOMY; ADULT; CASE REPORTS.

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