A 37-year-old female with a known history of endometriosis presented with progressive dysmenorrhea and dyspareunia, and complaints of hematuria. After cystoscopy and bilateral retrograde pyelography was performed, distal stenosis in the right ureter without ureteral obstruction and renal impairment was diagnosed. Abdominal hysterectomy and excision of peritoneal endometriotic lesions on the surface of the right ureter and bladder wall was done preserving the ovaries. The intrinsic endometriotic lesion in the right ureter was detected ureteroscopically and histologically and treated successfully by holmium laser ablation avoiding ureteral resection and re-implantation.
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