NONCALCULOUS OBSTRUCTION DUE TO INVOLVEMENT OF THE URETER IN ENDOMETRIOSIS

A retrospective case series of 5 consecutive patients presenting with endometriosis of the ureter between 1978 and 1992 is reported. All pat ients were managed by a single Consultant Urologist in a district gene ral hospital. The mean age of patients was 40.4 years (34-45). Only 1 patient had symptomatic ureteric obstruction. In 4 patients the diagno sis was incidental. Preservation or salvage of renal function will usu ally require surgical intervention. The diagnosis should be considered in women presenting with noncalculous ureteric obstruction, particula rly premenopausal women of low parity or those who have had previous p elvic surgery. The pathology, presentation, investigation and manageme nt of the condition is discussed.