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Müllerianosis, Endocervicosis, and Endosalpingiosis of the Urinary Tract: A Literature Review

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Abstract

Introduction and Hypothesis: We reviewed reported cases of endocervicosis, endosalpingiosis, and müllerianosis of the bladder or Ureters in women in order to highlight these conditions as distinct from endometriosis or adenomyosis. Methods: Medline and Scopus searches of all cases published till the October I, 2017. All retrieved references were searched manually to identify relevant articles. Results: Twenty-six articles reported endocervicosis. These included 37 cases described by theauthors as endocervicosis of the bladder. Weidentified 7 case reports of bladder endosalpingiosis. There were 26 publications including 27 cases of müllerianosis of the bladder and 3 cases affecting the lower Ureter. Literature descriptions are limited but available accounts do not point to features that uniquely distinguished these conditions. Affected women tended to be older, and in many cases, there was a possible relation to past surgery and particularly to hysterectomy and caesarean sections. Many cases were reported in postmenopausal women. Local excision was sufficient in most cases. Conclusion: The etiology of these conditions remains speculative, but case reports raise a possible link to pelvic surgery. There is a need for more detailed accounts of these lesions, which should be considered in the differential diagnosis of pre- and postmenopausal women with pelvic pain, dyspareunia, lower abdominal pain or discomfort, dysuria, frequency, or hematuria.

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Authors and Affiliations

  1. Department of Health Sciences, University of Leicester, Women and Perinatal Services, University Hospitals of Leicester, Infirmary Square, Leicester, UK, LE1 5WW

    Marwan Habiba PhD, FRCOG

  2. Faculty of Medicine, Catholic University of Leuven, Leuven, Belgium

    Ivo Brosens MD, PhD

  3. Department of Gynecology, Obstetrics and Urology, Sapienza University of Rome, Rome, Italy

    Giuseppe Benagiano MD, PhD

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  1. Marwan Habiba PhD, FRCOG
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Habiba, M., Brosens, I. & Benagiano, G. Müllerianosis, Endocervicosis, and Endosalpingiosis of the Urinary Tract: A Literature Review. Reprod. Sci. 25, 1607–1618 (2018). https://doi.org/10.1177/1933719118773441

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