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AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch

OBJECTIVE: To explore the feasibility of modified laparoscopic psoas hitch to treat ureteral endometriosis and evaluate its safety. METHODS: We respectively analyzed seven cases with pelvic deep invasive endometriosis which ureter was involved, who were hospitalized in department of gynecology betwe...

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Autores principales: Wang, Daohu, Mo, Chengqing, Li, Heng-Ai, Chen, Wei, Yao, Shuzhong, Qiu, Shaopeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708519/
http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s120
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author Wang, Daohu
Mo, Chengqing
Li, Heng-Ai
Chen, Wei
Yao, Shuzhong
Qiu, Shaopeng
author_facet Wang, Daohu
Mo, Chengqing
Li, Heng-Ai
Chen, Wei
Yao, Shuzhong
Qiu, Shaopeng
author_sort Wang, Daohu
collection PubMed
description OBJECTIVE: To explore the feasibility of modified laparoscopic psoas hitch to treat ureteral endometriosis and evaluate its safety. METHODS: We respectively analyzed seven cases with pelvic deep invasive endometriosis which ureter was involved, who were hospitalized in department of gynecology between March 2012 and December 2013. The age was between 24 and 39 years old. The preoperative imaging showed that the left ureter was involved in five cases and the right ureter was involved in another two cases. The moderate or severe hydronephrosis was confirmed by MRI or CT scan. ECT showed moderate or severe damage of renal function. The distal involved ureter was removed with other involved organs and modified laparoscopic psoas hitch was performed to recover the urinary tract continuity in all seven cases. RESULTS: Modified laparoscopic psoas hitch was successfully performed in all seven cases without open conversion. The postoperative recovery was uneventful in six cases and discharged in 1-2 weeks postoperatively. A urethral catheter was dropped off postoperatively in one case and the ureterovesical anastomosis was broken. Open ureterovesical anastomosis was performed 3 months later and the patient was discharged in 3 weeks after the second operation. CONCLUSIONS: Modified laparoscopic psoas hitch was proved a safe and feasible method to treat ureteral endometriosis in our small series. Long term follow-up is needed to evaluate its efficacy.
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spelling pubmed-47085192016-01-26 AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch Wang, Daohu Mo, Chengqing Li, Heng-Ai Chen, Wei Yao, Shuzhong Qiu, Shaopeng Transl Androl Urol Abstract Publication Urology OBJECTIVE: To explore the feasibility of modified laparoscopic psoas hitch to treat ureteral endometriosis and evaluate its safety. METHODS: We respectively analyzed seven cases with pelvic deep invasive endometriosis which ureter was involved, who were hospitalized in department of gynecology between March 2012 and December 2013. The age was between 24 and 39 years old. The preoperative imaging showed that the left ureter was involved in five cases and the right ureter was involved in another two cases. The moderate or severe hydronephrosis was confirmed by MRI or CT scan. ECT showed moderate or severe damage of renal function. The distal involved ureter was removed with other involved organs and modified laparoscopic psoas hitch was performed to recover the urinary tract continuity in all seven cases. RESULTS: Modified laparoscopic psoas hitch was successfully performed in all seven cases without open conversion. The postoperative recovery was uneventful in six cases and discharged in 1-2 weeks postoperatively. A urethral catheter was dropped off postoperatively in one case and the ureterovesical anastomosis was broken. Open ureterovesical anastomosis was performed 3 months later and the patient was discharged in 3 weeks after the second operation. CONCLUSIONS: Modified laparoscopic psoas hitch was proved a safe and feasible method to treat ureteral endometriosis in our small series. Long term follow-up is needed to evaluate its efficacy. AME Publishing Company 2014-09 /pmc/articles/PMC4708519/ http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s120 Text en 2014 Translational Andrology and Urology. All rights reserved.
spellingShingle Abstract Publication Urology
Wang, Daohu
Mo, Chengqing
Li, Heng-Ai
Chen, Wei
Yao, Shuzhong
Qiu, Shaopeng
AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title_full AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title_fullStr AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title_full_unstemmed AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title_short AB120. Laparoscopic management of ureteral endometriosis with modified psoas hitch
title_sort ab120. laparoscopic management of ureteral endometriosis with modified psoas hitch
topic Abstract Publication Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4708519/
http://dx.doi.org/10.3978/j.issn.2223-4683.2014.s120
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