Re: Freire et al.: Deep Infiltrating Endometriosis —Urinary Tract Involvement and Predictive Factors for Major Surgery (Urology 2017;108:65-70)

We appreciate this study which results according to the literature. It is clear that ureteral or bladder endometriosis could lead to a silent loss of renal function. ” A relatively limited number of patients who are currently not considered to be at true risk of urinary involvement have possible late diagnosis of renal failure.”1 Early diagnosis of hydronephrosis is critical to preserve renal function in these young patients. “As such we believe that patie nts with suspected or proven pelvic endometriosis should systematically undergo a sonographic kidney evaluation during routine gynecological sonographic examination, because of the high frequency of silent presentations.”1 Once diagnosed, a periodic evaluation of hydronephrosis is mandatory to pre vent the high risk of secondary loss of renal function.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Letter to the Editor Source Type: research