Postmenopausal Endometriosis With Ureteral Obstruction Treatment

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Postmenopausal intestinal obstructive endometriosis: case

5. Goumenou AG, Chow C, Taylor A, Magos A. Endometriosis arising during estrogen and testosterone treatment 17 years after abdominal hysterectomy: a case report. Maturitas. 2003;46(3):239-41. 6. Deval B, RafiiA, Felce Dachez M, Kermanash R, Levardon M. Sigmoid endometriosis in a postmenopausal woman. Am J Obstet Gynecol. 2002;187(6):1723-5. 7.

Endometriosis After Surgical Menopause Mimicking Pelvic

Treatment of severe postmenopausal endometriosis with an aromatase inhibitor. Fertil Steril. 1998 Apr;69(4):709-13 53 Yes Pelvic pain Bilateral distal ureteral obstruction Yes THBSO* No Yes (oral conjugated estrogen) Endometriosis Excision of the endometriosis and reimplantation of bilateral ureter into the bladder.

Case Report The menstruating bladder, an unusual cause of

to remain undiagnosed) in postmenopausal women. Pathologic and clinical studies report that most patients with involvement of the ureter by endometriosis will have hydronephrosis, and a third of these cases will also have evidence of pyelonephritis. As many as 25-50% of nephrons are lost when ureteral endometriosis is present.

Endometriosis associated with ureteric obstruction

of the obstruction but, in one who had intrinsic ureteral endometriosis, it was a failure. Matsura et aJ.9 treated a twenty-one year old patient with unilateral ureteric obstruction with extensive endometriosis initially with conservative surgery followed with Danazol and found that it took about five months for the obstruction to be relieved.

Treatment of severe postmenopausal endometriosis with an

recurrent endometriosis with use of an aromatase inhibitor. An aromatase inhibitor was a suitable medical option for this 57-year-old woman because she had already undergone three major surgeries, including bilateral oophorectomy and resec-tion of endometriosis, to relieve bilateral ureteral obstruction that caused left renal atrophy.

Persistent bilateral ureteral obstruction secondary to

Persistent bilateral ureteral obstruction secondary to endometriosis despite treatment with an aromatase inhibitor Justin Bohrer, B.S.,a Chi Chiung Grace Chen, M.D.,b and Tommaso Falcone, M.D.b a Cleveland Clinic Lerner College of Medicine of Case Western Reserve University; and b Department of Obstetrics and Gynecology Cleveland Clinic