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. 2018 Feb;38(2):257-260.
doi: 10.1080/01443615.2017.1349083. Epub 2017 Oct 3.

Severe ureteral endometriosis: frequency and risk factors

Diego Raimondo  1 , Mohamed Mabrouk  1   2 , Letizia Zannoni  1 , Alessandro Arena  1 , Margherita Zanello  1 , Arianna Benfenati  1 , Elisa Moro  1 , Roberto Paradisi  1 , Renato Seracchioli  1
Affiliations

Severe ureteral endometriosis: frequency and risk factors

Diego Raimondo et al. J Obstet Gynaecol. 2018 Feb.

Abstract

Ureteral endometriosis (UE) can be classified as severe when there is obstruction to urinary flow (ureteral compression (UC)). In this retrospective study on 205 patients, we evaluated intraoperatively the frequency of severe ureteral endometriosis (UE) in women with UE and, secondarily, risk factors associated with UC. We documented intraoperatively ureteral UC in 124 (60.5%) patients with UE. A significantly lower body mass index (BMI) was observed in women with UC than in women without UC (p = .02). A significant association was found between UC and parametrial endometriosis (p = .001). In multivariable analysis, these variables remained significantly associated with UC. Ureteral compression is common in patients with UE, especially in women with parametrial infiltration and a low BMI.

Keywords: Deep infiltrating endometriosis; laparoscopy; severe ureteral endometriosis; ureteral compression; ureteral endometriosis.

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