Diffused Pelvic Endometriosis to the Ureter and Rectal: Multidisciplinary Approach

Abstract

Endometriosis functionally causes lesions, nodules or active bulges to numerous organs. Is the second most common pelvic pathology in woman and strikes the 10–20% of the women in the pre-menopausal epoch (40–45 years) and the interest of the urinary apparatus is 1–11%. Rare to renal level, it mostly strikes the bladder and in smaller measure the ureters and the uretera with a relationship 40/5/1. Ureteral location is common extrinsic, deriving for contiguity of the ovarian endometriosis adherent or of the peritoneum or of the uterus-sacred ligament; rare the ureteral intrinsic endometriosis, primitively located in the organ wall. Our therapeutic orientation is surgical, especially in the cases of wide endometriosis or when the tissue has had a cicatrizial involution with absence of answer to the hormonal therapy.