{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:27:46Z","timestamp":1791199666789,"version":"4.2.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To report single\u2010center outcomes of laparoscopic management of patients with ureteral endometriosis and perform a meta\u2010analysis in order to select the best approach for these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cross\u2010sectional study was conducted during a 6\u2010year period (2015\u20132021) in the referral endometriosis center on 353 patients with ureteral endometriosis. For the meta\u2010analysis, 10 articles, including 505 patients, were found to be eligible. In our meta\u2010analysis, as well as our study, all endometriosis\u2010related pain symptoms and complications of surgery were evaluated, analyzed, and reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 326 patients whose ureteral involvement was confirmed in pathology, hydronephrosis and intrinsic ureteral lesions were detected in only 10.76% and 3.1% of the patients. Mean operating time and hospitalization were 3.25\u2009\u00b1\u20091.83\u2009h and 86\u2009\u00b1\u20092.58\u2009days, respectively. The most common site of concomitant involvement with endometriosis was uterosacral ligament (92.9%) and rectosigmoid (70.53%). Type II and III of Cliven\u2013Dindo complications were seen in 5.66% and 1.13% of patients, respectively. During a follow\u2010up period, no evidence of bladder or ureteral re\u2010involvement was observed. Similar to our meta\u2010analysis, all endometriosis\u2010related pain decreased significantly following operation (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.001). In our meta\u2010analysis, the rate of ureteral endometriosis recurrence, stenosis\/stricture, bladder atonia, urinary tract infection, hematuria, and fistula formation after surgery were: 2.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 50.42%), 15.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 0.00%), 14.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 8.76%), 6.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 0.00%), 7.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 79.28%), and 2.0% (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>: 0.0%), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The laparoscopic resection of the UE could be suggested as a feasible and safe method associated with favorable functional outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15449","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T08:03:52Z","timestamp":1666339432000},"page":"75-89","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Approach to ureteral endometriosis: A single\u2010center experience and meta\u2010analysis of the literature"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6274-0088","authenticated-orcid":false,"given":"Saeed","family":"Alborzi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Laparoscopy Research Center Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elham","family":"Askary","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Maternal\u2010Fetal Medicine Research Center Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0151-978X","authenticated-orcid":false,"given":"Tahereh","family":"Poordast","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Infertility Research Center Shiraz University Of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soroosh","family":"Alborzi","sequence":"additional","affiliation":[{"name":"Student Research Center, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alimohammad K. 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