Differential Diagnosis for Patient with Endinomyosis and Urinary Difficulty

• Single most likely diagnosis:
  • Ureteral obstruction due to endometriosis: This is a common complication of endometriosis, where the growths can cause blockage of the ureters, leading to difficulty in passing urine and pain.
• Other Likely diagnoses:
  • Pelvic floor dysfunction: Endometriosis can cause chronic pain and inflammation, leading to pelvic floor muscle spasms and dysfunction, which can cause urinary difficulty.
  • Constipation: Chronic pain and inflammation from endometriosis can also cause constipation, which can put pressure on the urethra and bladder, leading to urinary difficulty.
  • Interstitial cystitis: This is a condition that causes bladder pain and urinary frequency, which can be exacerbated by endometriosis.
• Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
  • Ureteral rupture: Although rare, ureteral rupture due to obstruction from endometriosis can be life-threatening and requires immediate medical attention.
  • Kidney damage: Prolonged ureteral obstruction can cause kidney damage, which can lead to chronic kidney disease or even kidney failure.
  • Malignant transformation: Although rare, endometriosis can undergo malignant transformation, which can cause urinary difficulty and other symptoms.
• Rare diagnoses:
  • Neurogenic bladder: This is a condition where the nerves that control the bladder are damaged, leading to urinary difficulty and other symptoms.
  • Fowler's syndrome: This is a rare condition that causes urinary retention due to a functional obstruction of the urethra.
  • Urethral stricture: This is a rare condition where the urethra is narrowed, causing urinary difficulty and other symptoms.