Volume 28, Issue 150, August 2024

Urological complications in the context of endometriosis: A review

Kinga Piela¹, Klaudia Włodarczyk^2♦, Maria Myślicka², Jolanta Mazurek³, Gabriela Mazurek⁴, Patryk Góralski⁵, Cezary Bochyński⁶, Anna Józefiak⁷, Magdalena Szczepanik⁸, Maciej Horbaczewski⁹, Dominika Kropidłowska¹⁰, Przemysław Hałasiński¹¹

¹Emergency Department, University Clinical Hospital Fryderyk Chopin, Fryderyka Szopena 2, 35- 055, Rzeszów, Poland
²Wroclaw Medical University, wyb. Ludwika Pasteura 1, 50-367 Wroclaw, Poland
³Primary Health Care, Private health care facility "ALMUS" Jacek Pieniazek, Białoboki 137, 37-207 Gać, Poland
⁴Department of Cardiology and Internal Diseases, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
⁵2nd Cardiology Clinic, University Clinical Center in Gdańsk, Dębinki 7, 80-953, Gdańsk, Poland
⁶Department of Internal Medicine, Railway Hospital. Włodzimierz Roefler, MD, PhD in Pruszków, Warsztatowa 1,05-800 Pruszków, Poland
⁷Department of Internal Diseases and Endocrinology, Gabriel Narutowicz Municipal Specialist Hospital in Cracow, Prądnicka 35-37, 31-202 Cracow, Poland
⁸Department of Pediatrics, District Hospital in Chrzanów, Topolowa 16, 32-500 Chrzanów, Poland
⁹Hospital Emergency Department, District Health Center Kartuzy, Floriana Ceynowy 7, 83-300 Kartuzy, Poland
¹⁰Polish Red Cross Maritime Hospital in Gdynia, Powstania Styczniowego 1, 81-519 Gdynia, Poland
¹¹Clinical Department of Gastroenterology, Metabolic, Internal Diseases and Dietetics, University Clinical Hospital in Poznań, 49 Przybyszewskiego, 60-355 Poznań, Poland

^♦Corresponding Author
Wroclaw Medical University, wyb. Ludwika Pasteura 1, 50-367 Wroclaw, Poland

ABSTRACT

Introduction: Endometriosis is a chronic inflammatory disease that occurs mainly in women of reproductive age. It can cause severe pelvic pain and make it difficult to get pregnant. The severity of symptoms and possible complications depend on the size and location of the lesions. Women with deep endometriosis are at risk for serious urological complications arising from surgical interventions. The Aim: This work shows how serious complications can occur in people with endometriosis. Case Report: This work presents a 31-year-old female patient with endometriosis of the deep pelvic organs. Due to endometriosisrelated infertility, the patient opted for radical resection of the endometriosis lesions. The patient developed urosepsis after surgery. Results: In the case of resection of endometriosis lesions in the pelvis, the possibility of urinary tract infections must be taken into account. The patient's condition should be monitored, appropriate care should be prescribed, the infection should be controlled, and appropriate antimicrobial therapy should be administered. Conclusions: When complications such as urosepsis occur after surgery, effective and immediate treatment including antimicrobial therapy is most important. It is necessary to prevent recurrent infections.

Keywords: Endometriosis, urosepsis, urostomies

Medical Science, 2024, 28, e94ms3400

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DOI: https://doi.org/10.54905/disssi.v28i150.e94ms3400

Published: 09 August 2024