Endometriosis urethra

Endometriosis urethra may be in the form of an isolated lesion, exciting only the walls of the urethra, and to be the result of the dissemination process of the vagina on the urethra. In the first variant endometriosis occurs as polypoid education or site. In addition, it is known diffuse lesions endometriosis wall of the urethra. Complaints of patients are cyclical in nature and are reduced to burning and sharp in the field of the urethra, increased urination, painful lumps (nodules) in the area of the urethra. May be bloody and brown discharge from the urethra. The size and pain of the site of endometriosis increase during the month. The treatment is carried out on General principles. Its success largely depends on timely diagnosis.
In conclusion, section a few comments regarding the information given in the monograph D. C. Kahn "guidelines for obstetric and gynaecological urology" (1985). In the description of the clinic of endometriosis ureters indicated that the most characteristic symptom is hematuria cyclic type. This provision does not correspond to reality. Just hematuria should be put on the last place, because usually the ureters am struck again by the distribution of the seats of genital endometriosis and even before the emergence in the lumen of the body comes its stenotic disease with the development of hydrometerorological. At primary defeat of the ureters by hematogenous drift of the elements of the endometrium in its wall is also a leading manifestation of the disease is associated with the narrowing of the lumen of the ureter up to his full obturation. In our material (10 patients with damage to the ureters) none of the patients were observed hematuria. Hematuria is more likely in the distal part of the ureter in its mouth.
One cannot agree with some recommendations D. C. Kahn (1985) on treatment: plastic surgery (we are talking about resection of the affected Department of the ureter and direct uretero-istanastasia or by the method of Bari) combined with castration, because in future such patients spend hormone treatment. In the postoperative period it is recommended to assign estrogens. First, you cannot justify castration holding hormone treatment after surgery. Secondly, castration does not prevent the recurrence of endometriosis, if it has not been removed completely, as there still exist estrogen secreted by the adrenal glands, and is preserved immune system dysfunction. Next, castration does not stop the progression of scar-sclerotic changes in the area of operations. Finally, at present, estrogens for the treatment of endometriosis are extremely rare.
When it comes to defeat endometriosis, bladder, a number of patients (lower part) is hematuria. D. C. Kahn writes that in connection with long and rich blood loss such patients almost always anemic. We never watched the development of anemia in connection with hematuria, caused by endometriosis bladder. Anemia can develop when hiperproliferarea on the grounds of adenomyosis and/or fibroids uterine often related to endometriosis bladder.
Recommendation D. C. Kahn run cystoscopy under anesthesia seems unreasonable.
Radiation therapy for the treatment of endometriosis, including the bladder, currently not used, as it does not justify itself.
The urethra more often affected by endometriosis in comparison with other parts of the urinary system [Kang D. Century, 1985]. On our material and according to the literature, the urethra is affected by endometriosis less bladder, ureters and kidneys.
These observations had to do this because they mislead urologists and other specialists in questions of diagnostics and treatment of patients with the defeat of endometriosis organs of the urinary system. Already in questions of diagnostics and treatment of many failures and shortcomings.