Urinary Tract Endometriosis: A Multidisciplinary Fight Against a Silent Enemy

Abstract

Study objective: To demonstrate the safety and feasibility of laparoscopic robotic assisted approach to urinary tract endometriosis.

Design: This is an educational video to explain the main steps of robotic assisted ureteroneocystostomy owing to endometriosis.

Setting: Tertiary care university hospital. A patient written consent was obtained on March 9, 2021. The local institutional review board confirmed that the video met the ethical criteria.

Interventions: Laparoscopic robotic assisted resection of uterosacral ligament endometriotic nodule, left terminal partial ureterectomy, partial cystectomy, and ureteroneocystostomy.

Conclusion: This video shows a stepwise approach to laparoscopic robotic assisted urinary tract endometriosis management demonstrating its feasibility and safety. Urinary tract endometriosis affect only the 0.3% to 6% of women affected by endometriosis, among which the most common localization is the bladder (84%-90%) [1]. The ureteral compression is rare but can lead to obstruction up to silent loss of renal function [2], which is one of the main factors to take into account in the management of this disease [3].

Keywords: Deep infiltrated endometriosis; Robotic surgery; Ureteroneocystostomy.