Ces Urol 2023, 27(4):222-235 | DOI: 10.48095/cccu2023028

Endometriosis of the urinary tract

Michal Buchta¹, Oldřich Matys¹, Martin Němec²

¹ Urologické oddělení, Nemocnice ve Frýdku­‑Místku

² Gynekologicko­‑porodnické oddělení, Nemocnice ve Frýdku­‑Místku

Buchta M., Matys O., Němec M. Endometriosis of the urinary tract. In this article, the authors approach the issue of endometriosis of the urinary tract as a diagnostic unit that a urologist may encounter in his practice. It is a form of deep infiltrating endometriosis and refers to the presence of ectopic endometrial tissue invading the bladder, ureter, kidney and urethra. Symptomatology is expressed in 50-70% of cases and includes cyclic hematuria, recurrent dysuria, pollakisuria, cystalgia or nephrolgia. Therapy management is watchful waiting, hormonal or surgical. The choice of the appropriate approach depends on the patient's preferences and on her age, symptomatology, anatomical conditions and the capabilities of the surgeon. Furthermore, the authors present two recent case reports of patients with endometriosis of the bladder and ureter who underwent examination and operative treatment at the given department.

Keywords: Diagnostics, bladder endometriosis, ureteric endometriosis, symptoms, therapy.

Received: August 24, 2023; Revised: September 14, 2023; Accepted: September 22, 2023; Prepublished online: September 25, 2023; Published: December 19, 2023