{"paper_id":"18d33568-54bb-4b5e-bcac-7c717f62b2d1","body_text":"Abstract\nIntroduction and hypothesis\nThe purpose is to demonstrate a surgical case of severe endometriosis involving a bladder endometriotic nodule.\nMethods\nThis patient has a large 4-cm endometriotic nodule which obliterates the uterovesical pouch and invades the bladder. A video recording was made of the surgery involving a combined laparoscopic and transurethral approach to excise the endometriotic nodule together with partial cystectomy of the bladder. The surgery was carried out by two gynaecological laparoscopic surgeons and a urologist.\nResults\nThis video is a good demonstration of the multidisciplinary approach that is required for such a complex case. The surgery itself is technically difficult as the nodule is densely adherent to both bladder and uterus. This video was presented at the 2011 International Urogynecological Association 36th Annual Meeting in Portugal.\nConclusions\nEndometriosis involving the urinary tract is rare and only occurs in approximately 1% of all patients with endometriosis (Schneider et al., Int J Urol 13:902–904, 2006). Surgery often involves a multidisciplinary approach and the surgery itself is technically challenging. This video is a good example of such a case.\nReferences\nSchneider A, Touloupidis S, Papatsoris AG et al (2006) Endometriosis of the urinary tract in women of reproductive age. Int J Urol 13:902–904\nBerlanda N, Vercellini P, Carmignani L et al (2009) Ureteral and vesical endometriosis. Two different clinical entities sharing the same pathogenesis. Obstet Gynecol Surv 64(12):830–842\nLitta P, Saccardi C, D’Agostino G et al (2012) Combined transurethral approach with Versapoint® and laparoscopic treatment in the management of bladder endometriosis: technique and 12 months follow-up. Surg Endosc 26(9):2446–2450\nPang ST, Chao A, Wang CJ et al (2008) Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis. Fertil Steril 90(5):2014.e1–2014.e3\nSeracchioli R, Mannini D, Colombo FM et al (2001) Cystoscopy-assisted laparoscopic resection of extramucosal bladder endometriosis. J Endourol 16(9):663–666\nNerli RB, Reddy M, Koura AC et al (2008) Cystoscopy-assisted laparoscopic partial cystectomy. J Endourol 22(1):83–86\nConflicts of interest\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nElectronic supplementary material\nBelow is the link to the electronic supplementary material.\n(MP4 28517 kb)\nRights and permissions\nAbout this article\nCite this article\nCheng, C., Healey, M. & Clarke, A. A surgical case involving bladder endometriosis. Int Urogynecol J 24, 1083–1084 (2013). https://doi.org/10.1007/s00192-012-1995-5\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00192-012-1995-5","source_license":"CC0","license_restricted":false}