Urinary Tract Endometriosis: A Multidisciplinary Fight Against a Silent Enemy.

STUDY

OBJECTIVE

To demonstrate the safety and feasibility of laparoscopic robotic assisted approach to urinary tract endometriosis.

DESIGN

This is an educational video to explain the main steps of robotic assisted ureteroneocystostomy owing to endometriosis.

SETTING

Tertiary care university hospital. A patient written consent was obtained on March 9, 2021. The local institutional review board confirmed that the video met the ethical criteria.

INTERVENTIONS: Laparoscopic robotic assisted resection of uterosacral ligament endometriotic nodule, left terminal partial ureterectomy, partial cystectomy, and ureteroneocystostomy.

CONCLUSION

This video shows a stepwise approach to laparoscopic robotic assisted urinary tract endometriosis management demonstrating its feasibility and safety. Urinary tract endometriosis affect only the 0.3% to 6% of women affected by endometriosis, among which the most common localization is the bladder (84%-90%) [1]. The ureteral compression is rare but can lead to obstruction up to silent loss of renal function [2], which is one of the main factors to take into account in the management of this disease [3].