[Obstructive endometriosis of the efferent urinary tract]

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This paper discusses clinical symptoms and treatment of vesical endometriosis and ureteral obstruction in pelvic endometriosis, using two cases and literature review to highlight its often overlooked but potentially serious consequences.

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This review article examines the clinical presentation and management of obstructive endometriosis affecting the efferent urinary tract, specifically focusing on vesical endometriosis and ureteral obstruction. Drawing on two case observations from the authors and a review of existing literature, the paper highlights that while this condition occurs in approximately one in seven to eight patients with endometriosis, it often receives insufficient attention due to its atypical symptomatology. The authors note that the consequences of these lesions can be severe for both younger women and those in postmenopause, emphasizing the need for greater awareness of pelvic endometriosis complications involving the urinary system. This paper is centrally about endometriosis — specifically deep infiltrating endometriosis causing obstruction in the urinary tract.

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Abstract

Even though, in every 7th to 8th patient with endometriosis, it occurs in the efferent urinary tract, little attention has been paid this fact, generally speaking. This may be due in part to the atypical symptomatology of ureteral or respectively vesical endometriosis. However, its consequences can be serious in both younger patients as well as postmenopausal women. On the basis of two of the authors' own cases and the literature, the clinical symptoms and treatment of vesical endometriosis and ureteral obstruction associated with pelvic endometriosis are discussed.
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Subscribe to RSS DOI: 10.1055/s-2008-1036156 Obstruktive Endometriose im Bereich der ableitenden Harnwege Obstructive Endometriosis in the Efferent Urinary TractPublication History Publication Date: 19 March 2008 (online) Zusammenfassung Obschon bei jeder 7. bis 8. Patientin mit Endometriose eine solche der ableitenden Harnwege vorliegt, hat diese im allgemeinen wenig Beachtung gefunden. Dies mag zum Teil an der wenig charakteristischen Symptomatologie der Ureter- resp. Blasenendometriose liegen. Ihre Folgen können sowohl bei der jungen Patientin wie auch bei der Patientin in der Postmenopause jedoch schwerwiegender Natur sein. Es wird anhand von zwei eigenen Beobachtungen und der Literatur auf die Klinik der Blasenendometriose und der Ureterobstruktion im Rahmen der pelvinen Endometriose eingegangen. Abstract Even though, in every 7th to 8th patient with endometriosis, it occurs in the efferent urinary tract, little attention has been paid this fact, generally speaking. This may be due in part to the atypical symptomatology of ureteral or respectively vesical endometriosis. However, its consequences can be serious in both younger patients as well as postmenopausal women. On the basis of two of the authors' own cases and the literature, the clinical Symptoms and treatment of vesical endometriosis and ureteral obstruction associated with pelvic endometriosis are discussed.

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Ureteral Neoplasms Ureteral Obstruction Adult Adult Endometriosis Endometriosis Endometriosis Female Female Humans Humans Hydronephrosis Hydronephrosis Hydronephrosis Kidney Kidney Kidney Neoplasms, Multiple Primary Neoplasms, Multiple Primary

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europepmc
last seen: 2026-10-25T09:32:14.900964+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:46:40.609885+00:00
unpaywall
last seen: 2026-10-25T06:24:14.523685+00:00
License: CC0 · commercial use OK