{"paper_id":"407744fe-8bcc-4788-b1ef-a6c71e45be4f","body_text":"Abstract\nLaparoscopic partial cystectomy performed for bladder endometriosis in selected patients requires advanced laparoscopic skills including pelvic dissection, suturing and intracorporeal knot tying. Cystoscopic skills to assess the extent of endometriosis involvement in the bladder and to place ureteral stents if endometriosis involves or is close to the trigone, ureters, or projected course of the intramural part of the ureter are also required. Previous authors have recommended the laparoscopic technique only with bladder endometriosis that is distant from the bladder neck, the ureteral orifices, and the trigone, to allow a resection margin of 1–2 cm. We find no reason to exclude patients with these involvements if the surgeon can safely do the resection and reconstruction. We report a 32-year-old patient referred by her urologist for the evaluation and treatment of biopsy-proven bladder endometriosis penetrating the bladder wall and mucosa above and to the right of the midline of the trigone approximately 1.5 in. in diameter with fibrotic scarring extending to the trigone and very close to the right ureteral orifice. The patient successfully underwent partial laparoscopic cystectomy as described in the body of the paper.\nReferences\nLangebrekke A, Johannessen HO, Qvigstad E (2008) Surgical treatment of endometriosis. Tidsskr Nor Laegeforen 128(13):1515–1518\nEltabbakh GH, Bower NA (2008) Laparoscopic surgery in endometriosis. Minerva Ginecol 60(4):323–330\nLeonhartsberger N, Zelger B, Rehder P (2008) Intrinsic endometriosis of ureter and bladder in young women without gynecological symptoms. Urol Int 80(2):222–224. doi:10.1159/000112619\nAkhter N, Sohail I, Shah S, Farouk K, Sultana N (2007) Vesical endometriosis. J Coll Physicians Surg Pak 17(11):702–703\nNerli RB, Reddy M, Koura AC, Prabha V, Ravish IR, Amarkhed S (2008) Cystoscopy-assisted laparoscopic partial cystectomy. J Endourol 22(1):83–86. doi:10.1089/end.2007.0105\nCopeland C, Wing R, Hulka JF (1983) Direct trocar insertion at laparoscopy: an evaluation. Obstet Gynecol 62:655–659\nJudd ES (1921) Adenomyomata presenting as a tumor of the bladder. Surg Clin North Am 1:1271–1278\nCarstensen A, Mundhenke C, Schollmeyer T (2007) Endometriosis. Ther Umsch 64(7):349–352. doi:10.1024/0040-5930.64.7.349\nFedele L, Piazzola E, Raffaelli R, Bianchi S (1998) Bladder endometriosis: deep infiltrating endometriosis or adenomyosis? Fertil Steril 69:972–975. doi:10.1016/S0015-0282(98)00048-X\nVercellini P, Meschia M, De Giorgi O, Panazza S, Cortesi I, Crosignani PG (1996) Bladder detrusor endometriosis: clinical and pathogenetic implications. J Urol 155:84–86. doi:10.1016/S0022-5347(01)66550-9\nChapron C, Boucher E, Fauconnier A, Vieira M, Dubuisson JB, Vacher-Lavenu MC (2002) Anatomopathological lesions of bladder endometriosis are heterogeneous. Fertil Steril 78:740–742. doi:10.1016/S0015-0282(02)03321-6\nDonnez J, Spada F, Squifflet J, Nisolle M (2000) Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril 74:1175–1181. doi:10.1016/S0015-0282(00)01584-3\nCastillo OA, Aranguibel JC, Sánchez-Salas R, Foneron A, Vitagliano G, Díaz M, Fajardo M (2006) Partial cystectomy. Our series. Arch Esp Urol 60(9):1.111–1.116\nMettler L, Gaikwad V, Riebe B, Schollmeyer T (2008) Bladder endometriosis: possibility of treatment by laparoscopy. JSLS 12(2):162–165\nGranese R, Candiani M, Perino A, Venezia R, Cucinella G (2008) Bladder endometriosis: laparoscopic treatment and follow-up. Eur J Obstet Gynecol Reprod Biol 140(1):114–117\nButrick CW (2007) Patients with chronic pelvic pain: endometriosis or interstitial cystitis/painful bladder syndrome? JSLS 11(2):182–189\nMiller S, Lester F, Webster M, Cowan B (2005) Obstetric fistula: a preventable tragedy. J Midwifery Womens Health 50(4):286–294. doi:10.1016/j.jmwh.2005.03.009\nConflict of interest statement\nNone.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nWalid, M.S., Heaton, R.L. Laparoscopic partial cystectomy for bladder endometriosis. Arch Gynecol Obstet 280, 131–135 (2009). https://doi.org/10.1007/s00404-008-0856-4\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-008-0856-4","source_license":"public-domain-us","license_restricted":false}