Endometriosis of the urinary tract

Laparoscopic reimplantation of the ureter in surgical treatment of endometriosis infiltration

Laparoscopic reimplantation of the ureter in surgical treatment of endometriosis infiltration.
Professor M.Malzoni (2018) is performing an operation

The patient, aged 30, has infiltrating endometriosis, invading to the anal wall and the right ureter. In this video the technique of the exposure of endometrioid infiltrate by means of the bipolar forceps and endoscopic scissors with the preliminary exposure of the right ureter up to the stenosis level is presented. Then the transection of the colon by the linear endoscopic stitching apparatus is immediately performed when infiltration is noticed. Then, using a 5-mm Thunderbeat Olympus instrument, dissection of the urinary bladder is performed. When the urinary bladder is inflated, the right wall of it is fixed to the lumbar muscle. The ureter and the urinary bladder are opened, and the ureter stent is inserted into the lumen. Then anastomosis is performed between the urinary bladder and the ureter by the interrupted suture, using “Polysorb” thread.

Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis

Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis.
Professor Puchkov K.V . is performing an operation (2016).

A 28 year-old patient is operated on for infiltrating endometriosis, invading to the wall of rectum and urinary bladder. According to cystoscopy data on the mucous layer of the urinary bladder there is tumour-like excrescence of a black colour-2-3 cm-with the fluid component inside. In this video the technique of endometrioid infiltrate exposure from the surrounding tissues by means of a 5 mm monopolar electrode is demonstrated. An affected area of the urinary bladder is dissected with the help of 5 mm MEDTRONIC-COVIDIEN ultrasonic scissors. Then it is stitched by “Polysorb” 3-0 and “Monocril” 3-0 thread. Before laparoscopy beginning stent is inserted into the lumen of the left ureter. One should take control of the stitched wound-whether it is hermetic or not.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.