Hormonal Treatment for Severe Hydronephrosis Caused by Bladder Endometriosis

The incidence of endometriosis cases involving the urinary system has recently increased, and the bladder is a specific zone where endometriosis is most commonly seen in the urinary system. In the case presented here, a patient presented to the emergency department with the complaint of side pain an...

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Bibliographic Details
Published in:Case reports in urology 2014-01, Vol.2014 (2014), p.1-5
Main Authors: Ercan, Önder, Kolus, Eyüp, Serin, Salih, Bakacak, Murat, Efe, Erkan, Resim, Sefa
Format: Article
Language:English
Subjects:
Biomarkers
Birth control
Bladder
Case Report
Catheters
Endometriosis
Family medical history
Menstruation
Obstetrics
Surgery
Tomography
Women
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Summary:The incidence of endometriosis cases involving the urinary system has recently increased, and the bladder is a specific zone where endometriosis is most commonly seen in the urinary system. In the case presented here, a patient presented to the emergency department with the complaint of side pain and was examined and diagnosed with severe hydronephrosis and bladder endometriosis was determined in the etiology. After the patient was pathologically diagnosed, Levonorgestrel-Releasing Intrauterine System (LNG-IUS) was administered to the uterine cavity. At the 12-month follow-up, endometriosis was not observed in the cystoscopy and symptoms had completely regressed. Hydronephrosis may be observed after exposure of the ureter, and silent renal function loss may develop in patients suffering from endometriosis with bladder involvement. For patients with moderate or severe hydronephrosis associated with bladder endometriosis, LNG-IUS application may be separately and successfully used after conservative surgery.
ISSN:2090-696X
2090-6978
DOI:10.1155/2014/891295