Bladder Involvement in Stage I Endometriosis

Paula C. Brady, Missmer SA, Stacey A. Missmer, Laufer MR, Marc R. Laufer
Journal of Pediatric and Adolescent Gynecology · 2017 · vol. 30(4) , pp. 503–504 · doi:10.1016/j.jpag.2017.03.143 · PMID:28400322 · W2283182968
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This study investigated the prevalence and characteristics of bladder involvement in women diagnosed with Stage I endometriosis.

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Abstract

BackgroundEndometriosis-the ectopic implantation of endometrial-like tissue-affects 10% of adolescent females and adults. Bladder involvement, causing dysuria and hematuria, occurs in a very small number of endometriosis patients.CaseThe patient presented at age 12 years with dysuria and pelvic pain. Laparoscopy revealed stage I endometriosis. Postoperatively, she reported persistent dysuria and passage of tissue in her urine. Cystoscopy showed diffuse erythema; urine cytology revealed glandular and spindle cells suggestive of endometriosis. She was transitioned from oral contraceptives to an intranasal gonadotropin-releasing hormone agonist, with symptom resolution.Summary and conclusionIntravesicular endometriosis coinciding with stage I disease supports a mechanism of endometriosis dissemination other than direct bladder infiltration. Patients with endometriosis who complain of urinary symptoms warrant assessment, because intravesicular bladder involvement cannot be excluded using pelviscopy.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Urinary Bladder Diseases Child Cystoscopy Endometriosis Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone Humans Laparoscopy Urinary Bladder Diseases Urinary Bladder Diseases

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (17)

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