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The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
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InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
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Obstetrics and Gynegology2025№6
Urinary tract endometriosis.

Urinary tract endometriosis.

DOI
https://dx.doi.org/10.18565/aig.2025.143

Chuprynin V.D., Melnikov M.V., Chursin V.V., Eremina M.S., Kulakova Yu.V., Sorivko E.R., Khilkevich E.G.

1) Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Moscow, Russia; 2) Melitopol Regional Perinatal Center, Melitopol, Russia

Urinary tract endometriosis refers to deep infiltrating endometriosis. Its incidence ranges from 0.3 to 12% 
of all cases of endometriosis. The article presents the main theories that provide evidence-based explanations of the etiology and pathogenesis of endometriosis. Endometriosis is primarily associated with the diseases of the reproductive system. However, the clinical picture of urinary tract endometriosis has its own characteristics; it depends on the extent and localization of endometrioid lesion and may be atypical. The symptoms may be completely absent or manifest as severe dysuric disorders. But their specific characteristics are due to the cyclic nature and association with a woman’s menstrual cycle.
The diagnosis of urinary tract endometriosis has a number of difficulties and requires a comprehensive approach. It includes clinical, laboratory and instrumental examinations: ultrasound, MRI, CT, cystoscopy, excretory urography. The complex of studies provides a complete picture of the localization of endometrioid nodules, the depth of the lesion and the extent of dysfunction in the organs of the genitourinary system. Special attention should be given to immunohistochemical studies of endometrioid nodules, which provide insight into the expression of stem cell marker Musashi-1 in endometrioid heterotopias and autologous endometrium. This explains the morphological characteristics of the disease. The results of the study are important in predicting the recurrence of the disease.
Treatment involves medication therapy and surgery. Each stage has its advantages and limitations. The aim of treatment is to relieve pain, restore the impaired functions of the genitourinary system, reduce the risk of recurrence of the disease, improve the quality of a woman’s life and preserve her reproductive function.
Conclusion: Urinary tract endometriosis is a complex and multifactorial condition that requires a thorough diagnostic approach, as well as the collaboration of various specialists, namely, gynecologists, urologists, and internists.

Authors’ contributions: Chuprynin V.D., Khilkevich E.G. – developing the concept of the study, editing the text; Melnikov M.V., Chursin V.V., Sorivko E.R. – analysis of the literature data; Eremina M.S., Kulakova Yu.A. – writing the text.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was performed without sponsorship.
For citation: Chuprynin V.D., Melnikov M.V., Chursin V.V., Eremina M.S., 
Kulakova Yu.A., Sorivko E.R., Khilkevich E.G. Urinary tract endometriosis. 
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (6): 51-62 (in Russian)
https://dx.doi.org/10.18565/aig.2025.143

Keywords

urinary tract endometriosis
deep infiltrating endometriosis
dysuric disorders
Musashi markers
CD15 markers
ureterolysis
nephrectomy
Full text (in Russian)

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Received 30.05.2025

Accepted 11.06.2025

About the Authors

Vladimir D. Chuprynin, PhD, Head of the Surgery Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparina str., 4, +7(495)438-35-75, v_chuprynin@oparina4.ru, https://orcid.org/0009-0003-7856-2863
Mikhail V. Melnikov, PhD, Head in Clinical Work, Department of Surgery, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparina str., 4, +7(495)438-78-33, m_melnikov@oparina4.ru
Vyacheslav V. Chursin, surgeon at the Department of General Surgery, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparina str., 4, +7(495)438-78-33, v_chursin@oparina4.ru, https://orcid.org/0009-0002-9952-6629
Mariya S. Eremina, Resident at the Surgery Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparina str., 4, dexmaren@yandex.ru
Yulia A. Kulakova, Resident, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia,
117997, Russia, Moscow, Ac. Oparina str., 4, +7(981)247-13-19, iu.kulakova@yandex.ru
Evgeny R. Sorivko, obstetrician-gynecologist at the Gynecology Department, Melitopol Regional Perinatal Center, 272301, Russia, Melitopol, Kiziyarskaya str., 37,
+7(990)055-04-02, awwgxtf@gmail.com
Elena G. Khilkevich, Dr. Med. Sci., obstetrician-gynecologist at the Surgery Department, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparina str., 4, +7(495)438-77-83, e_khilkevich@oparina4.ru,
https://orcid.org/0000-0001-8826-8439

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