SYMPTOMATIC URETERAL ENDOMETRIOSIS

MALIGNANT ENDOMETRIOSIS

 

IVP, sonogram of kidneys, and renal function studies selectively.

 

  1. Ureterolysis or ureterovesical implantation and excision of all pelvic endometriosis
  2. Ureterolysis or ureterovesical implantation and excision of all pelvic endometriosis with hysterectomy and ovarian conservation
  3. Ureterolysis or ureterovesical implantation and excision of all pelvic endometriosis with hysterectomy, bilateral salpingo-oophorectomy, and hormone replacement therapy
  4. Nephrectomy selectively, and appropriate pelvic surgery, dialysis, and kidney transplant selectively

 

MALIGNANT ENDOMETRIOSIS

 

Malignant ovarian endometriosis and malignant endometriosis of the pos­terior vaginal fornix should be treated by a gynecologic oncologist or by appropriate surgery and chemotherapy in consultation with a gynecologic oncologist.

 

 

OSTEOPOROSIS

Women with endometriosis are prone to osteoporosis. The object of treat­ment is removal of all endometriosis followed by estrogen or combined estrogen and progesterone hormone replacement therapy. The importance of excising all endometriosis at surgery cannot be overemphasized, so that patients can receive the benefits of hormonal replacement therapy.

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