Evidence map›Paper›PMID 40631676›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2026

Urinary tract endometriosis: Revisiting the definition of ureterolysis.

Constance Durant Des Aulnois, Léo Razakamanantsoa, Adrien Crestani, Ylan Abrahami, Steeve Doizi, Florie Gomez, Cyril Touboul, Isabelle Thomassin Naggara, Emile Daraï, Yohann Dabi

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Urinary tract endometriosis: Revisiting the definition of ureterolysis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Constance Durant Des AulnoisDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
Léo RazakamanantsoaDepartment of Radiology, Hôpital Tenon, Sorbonne University, Paris, France.
Adrien CrestaniDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
Ylan AbrahamiDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
Steeve DoiziDepartment of Urology, Hôpital Tenon, Sorbonne University, Paris, France.
Florie GomezDepartment of Urology, Hôpital Tenon, Sorbonne University, Paris, France.
Cyril TouboulDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
Isabelle Thomassin NaggaraDepartment of Radiology, Hôpital Tenon, Sorbonne University, Paris, France.
Emile DaraïDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.
Yohann DabiDepartment of Gynecology-Obstetrics and Reproductive Medicine, Hôpital Tenon, Sorbonne University, Paris, France.ORCID https://orcid.org/0000-0002-9353-6036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo report the incidence of urinary tract endometriosis (UTE) among patients with deep endometriosis, and to analyze surgical procedures, the rate of complications, and the recurrence rate in patients with UTE managed in a French expert center.

methodsWe conducted a retrospective analysis of patients treated in the gynecologic surgery department of Tenon Hospital (AP-HP, Paris, France) between January 1, 2016, and December 31, 2022. Patients that underwent partial bladder resection, extensive and complex ureterolysis, or ureteral resection for deep infiltrating endometriosis were selected. We describe surgical approach, type of intervention on urinary tract lesions, associated gynecologic and digestive procedures, and peri- and postoperative complications.

resultsAmong 923 patients treated for deep endometriosis, 99 (10.7%) had urinary tract lesions. Bladder surgery was performed in 43 cases (43.4%), including 41 partial cystectomies (41.4%). Ureter procedures were performed in 86 cases (86.9%), including 70 (70.7%) extensive ureterolysis and 16 (16.2%) partial ureteral resections followed by ureteroneocystostomy. Ninety-three patients (94%) underwent standard or robot-assisted laparoscopy. Complications requiring surgical reintervention occurred in 17 cases (17.2%). At 1 month postsurgery, 85% of the patients reported not needing analgesics. During follow up, three patients experienced deep endometriosis recurrence (3%).

conclusionPatients with UTE can safely undergo conservative management, with an acceptable complication rate. These patients should be managed in referral centers to favor multidisciplinary approaches, including appropriate preoperative workup.

Indexed as

EndometriosisUreteral DiseasesUrologic DiseasesUrologic Surgical ProceduresAdultFemaleFranceHumansIncidenceLaparoscopyMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesUreterUrinary Bladderbladder endometriosisendometriosissurgical managementureteral endometriosisureterolysisurinary tract endometriosis

Identifiers

PMID40631676
PMCPMC12724049

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.