Table 1.
Patient Characteristics (N=30)
| Ureteral Endometriosis N=16 (53%) | Bladder Endometriosis N=15 (50%) | |
|---|---|---|
| Age (yrs; mean±SD) | 38.3±6.2 | 33.4±6.1 |
| Parity | ||
| Nulliparous | 4 (25) | 5 (33.3) |
| Para ≥1 | 12 (75) | 10 (66.7) |
| Associated localizations | ||
| Sigmoid colon | 6 (37.5) | 5 (33.3) |
| Rectum | 13 (81.3) | 8 (53.3) |
| Rectovaginal space | 3 (18.8) | 5 (33.3) |
| Ovaries | 4 (25) | 4 (26.7) |
| Uterosacral ligaments | 16 (100) | 4 (26.7) |
| Small bowel | 1 (6.3) | 4 (26.7) |
| Diaphragm | 2 (12.5) | 2 (13.3) |
| Appendix | 1 (6.3) | 1 (6.7) |
| Pain evaluation using 10-points analog rating scale* | ||
| Dysmenorrhea | 8.2±1.8 | 8.2±1.5 |
| Deep dyspareunia | 6.6±2.3 | 6.8±2.3 |
| Non menstrual pain | 7±2.6 | 6.8±2.3 |
| History of painful symptoms (years) | ||
| Dysmenorrhea | 12.7±9.9 | 7.8±5.7 |
| Deep dyspareunia | 9.1±6.3 | 6.2±1.6 |
| Nonmenstrual pain | 9.7±3.5 | 2.9±3.3 |
| Fertility | ||
| No infertility | 12 (75) | 10 (66.7) |
| Primary infertility | 4 (25) | 4 (25) |
| Secondary infertility | 0 | 1 (6.7) |
| Ureteral endometriosis | ||
| Left | 10 (62.5) | 0 |
| Right | 4 (25) | 0 |
| Bilateral | 2 (12.5) | 1 (6,7) |
| Bladder endometriosis | ||
| Supratrigonal | 1 (6.3) | 13 (86.7) |
| Trigonal | 0 | 2 (13,3) |
| Previous surgery for endometriosis | 9 (56.3) | 8 (53.3) |
| Preoperative workup | ||
| MR imaging | 16 (100) | 15 (100) |
| Pelvic and abdominal ultrasonography | 11 (68.8) | 8 (53.3) |
| Pyelography | 7 (43.8) | 10 (66.7) |
| Computed tomography + IV contrast | 1 (6.3) | 2 (13.3) |
| Endorectal ultrasonography | 14 (87.6) | 10 (66.7) |
| Computed tomography + virtual colonoscopy | 4 (25) | 2 (13.3) |
| Renal scintigraphy | 1 (6.3) | 0 |
| Cystoscopy ± ureteral stent insertion | 7 (43.8) | 10 (66.7) |