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Endometriosis of Ureter
Endometriosis, a condition where tissue similar to the lining of the uterus grows in other parts of the body, can affect various areas.
One such area is the ureter, a tube that carries urine from the kidneys to the bladder. This article delves into the specifics of Ureteral Endometriosis, a condition that though rare, poses significant challenges to those affected.
Endometriosis nodules usually encase the ureter, causing extrinsic compression. Intrinsic compression of the Ureteral Endometriosis is rare but can occur.
Endometriosis of the Ureter is commonly associated with Deep Endometriosis. This connection is a frequent occurrence, linking these two conditions together.
Among all types of Deep Endometriosis, Endometriosis of the Ureter is commonly associated with Endometriosis of the Pelvis. However, isolated Ureteral Endometriosis is a rarity.
Symptoms & Diagnosis
The symptoms of Ureteral Endometriosis vary from person to person. Common symptoms include lower abdominal and back pain, urinary tract infections, blood in the urine, painful urination, and recurrent kidney stones.
These symptoms may not be present in all cases of Ureteral Endometriosis; some women may have no noticeable signs.
The diagnosis and treatment of Ureteral Endometriosis is complex, as many other conditions can cause similar symptoms.
But, early diagnosis of Ureteral Endometriosis is possible, and a key step is kidney scanning. Ultrasounds may reveal signs of hydroureter and hydronephrosis, which could be associated with loin pain, near the kidneys.
Often, this is due to an endometriotic cyst compressing the ureter because of external Endometriosis.
Treatment Options
The primary cause of Ureteral Endometriosis is compressive symptoms or encasement from Endometriosis.
Medical management, such as the use of Dienogest and GnRH agonists, is commonly applied but can be a mistake when treating compressive pathology.
Surgical management of Ureteric Endometriosis does not require pre-surgical stenting. Post-surgical stenting may be indicated for cases where there is a loss of vascular supply to the ureter or severe compression on the ureter.
Adhesiolysis and Decompressive procedures are the standard approach, but in certain situations, Ureteric Reimplantation or Boari Flap reconstruction might be needed (we’ll understand these procedures in next section).
Incorrect medical management can lead to a silent kidney, especially in cases of long-standing Ureteral Endometriosis.
This is a serious complication where a patient can end up losing a kidney, due to incorrect treatment.
It’s absolutely critical not to underestimate the impact of choosing the perfect doctor for endometriosis treatment. The difference it can make is truly huge.
Dr. Jay Mehta and his team operates more than 500 cases of Endometriosis across India annually. Dr. Jay is very experienced fertility & one of the best endometriosis doctor in Mumbai.
Now lets understand,
– Ureteric Reimplantation & Boari Flap Reconstruction
Ureteric Reimplantation requires stenting for usually 3-5 weeks post-procedure.
Boari Flap Reconstruction is done for lesions involving the Ureter, especially at the level of the Sacral Promontory or slightly below that.
Dr Jay Mehta and his team have performed the highest number of Ureteric Reimplantations & Boari Flaps in India for Endometriosis, and they have an extremely quick recovery rate due to their vast experience.
Book Your Consultation Today With an Endometriosis of Ureter Specialist in India
– Dr Jay Mehta
Recurrence & Pregnancy Post-Surgery
Fortunately, the ureter is one location where disease clearance is done, and if the reconstruction is done nicely, then the recurrence is less than 1%.
YES, a patient can become pregnant and have a safe cesarean section despite undergoing a supermajor Ureteric reconstruction surgery.
In conclusion, while Ureteral Endometriosis is a challenging and complex condition, it is manageable with early detection, appropriate treatment, and expert surgical intervention.
By understanding more about it, patients can seek out the right help and live healthy lives even after diagnosis and treatment.
For any endometriosis treatment, consider seeking a consultation with Dr. Jay Mehta. He is highly experienced endometriosis doctor in Mumbai & can provide the necessary expertise to address your specific concerns.
Dr. Jay Mehta is a highly renowned IVF specialist and fertility-preserving surgeon based in Mumbai, India. As the director of the Shree IVF and Endometriosis Clinic in Mumbai, he is recognized as one of India's leading laparoscopic gynecologists for advanced treatment of complex conditions such as endometriosis and adenomyosis. Dr. Mehta and his team have extensive expertise, performing more than 2500 endometriosis cases across India every year at multiple locations. Under his leadership, the Shree IVF and Endometriosis Clinic has consequently become the highest-volume endometriosis and adenomyosis treatment unit in India. Dr. Mehta conducts operations and consultations across India's major cities, including Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, and Delhi. To book an appointment, call: 1800-268-4000
Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
4.9
Verified & Most Trusted One
Many Treatments. One Goal.
Caring for Every Patient, Every Day.
ALPA AINCHWAR
Thank you to the best endometriosis surgeon in our India.
Honest and very ethical person.
I want to add one thing, very respectful behavior towards all the patients here.
The only thing is doctor jay is very straight forward.
If he is getting so much work being so straight forward. I can only imagine what will happen if he becomes little sweet and sugary sugary to everyone. But whatever I know him he won’t become like that, kyunki iss Bande ko bhagwaan ka kuch alag aashirvaad hai
Vidhi Mehta
Dr Jay Mehta is a genius at treating endometriosis patients. To the point, no bakwaas. For 13 years I was made to believe I could never conceive naturally, from the age of 19 when I went to a hospital for the first time as an emergency endo patient.
After 2 endo surgeries, 1 failed IVF and a miscarriage here I meet the first doctor who said you will conceive naturally. (Hope). , This was God’s plan, Lord Shiva!!
Thank you Dr. Jay, Dr. Vismay, and the entire team for the hope, treatment, hospitality, and the quickest discharge.
RENUKA RAUT
Great Experience. I have been operated for grade 4 endometriosis. I have never seen a doctor like Jay Sir in my entire life..he is very concerned about his patients..going out of the way to make things possible
Finally, I found an endometriosis specialist after struggling a lot. I am In a safe hand. Each and every staff of this hospital is well-trained and well-managed..highly recommended
Sunitha Suni
He is the god me because im suffering from since 4year pain full period of endometriosis problem im going to so many hospitals any one not identify the problem he is identify and clear endometriosis problem, thanq Dr jay metha sir, Dr Chaitali Rao and ur team Good receiving thanq so much sir ur save my life
md Sohail
Dr. Jay Mehta, what a doctor he is ..hats off.
I really wanted to thank from the bottom of my heart to Dr. Jay Mehta and his dedicated and caring team.
We came from Hyderabad and undergone a major surgery. What a guts he has. I highly recommend Dr Jay Mehta for women who needs a cure for Endometriosis.
Huge thanks to Dr. Chaitali, Dr. Vismai sir and all the supporting staff, nurses and mausis. He is the great doctor and do the best treatment.
Overall very rare kind of personality is Dr.Jay Mehta among the present generation of doctors.
Ankit Jain
I wanted to thank Dr. Jay and his dedicated and caring team at Shree IVF & Endometriosis Hospital at Ghatkopar, Mumbai for the Endometriosis surgery performed. His knowledge of this dreadful disease and its treatment to help thousands of endometriotic women is truly amazing.
He is a gem of a person, explains the problem to patients and their families nicely, and proposes surgical treatment. His caring team also makes the stay in the hospital post-op help to recover quickly.
I highly recommend Dr Jay Mehta for women who need a cure for Endometriosis. He also works brilliantly for IVF and other gynac issues. Kindly check with the clinic and hospital and plan your visit accordingly. They also help with nearby stays for outstation patients. God bless you and give you the strength to continue to work in the noble field.
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