Ureteral Obstruction Owing to Endometriosis: Reversal with Synthetic Progestin

Abstract

A case of unilateral ureteral obstruction owing to extensive pelvic endometriosis is presented. There was complete resolution of ureteral obstruction following treatment with synthetic progestin [norgestrel and ethinylestradiol]. Sequential assessment of renal function was provided by renal imaging and renograms. Selected patients with obstructive uropathy may respond favorably to medical management, which probably would allow for preservation of reproductive capabilities and restoration of renal excretory function.