Intrinsic ureteral endometriosis presenting as ureteric stricture

Ureteral endometriosis (UE) is a relatively rare situation. Endometriosis affects 5-10% of reproductive age women. Urinary tract endometriosis occurs in 1%-5.5% females with endometriosis. A 32 year old woman presented with recurrent, cyclical right loin pain for the past 01 year. There was no history of urinary complaints, fever or bowel symptoms. There is history of LAVH 5 years back. Clinical examination was unremarkable and investigations were within normal limits. Ureteroscopy showed polypoidal mass in distal ureter, which was excised and DJ stent was placed. Patient was started with hormonal therapy for 04 months followed by Right Ureteric reimplantation.