Anatomopathological lesions of bladder endometriosis are heterogeneous
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This paper describes the heterogeneous anatomopathological lesions observed in bladder endometriosis.
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Abstract
ObjectiveTo present the anatomopathological characteristics of deep bladder endometriosis.DesignDescriptive anatomapathological study.SettingA university hospital department of gynecological surgery.Patient(s)Eleven consecutive patients complaining of pelvic pain and painful urinary functional symptoms.Intervention(s)Laparoscopic partial cystectomy.Main outcome measure(s)Macroscopic and microscopic characteristics of deep bladder endometriosis lesions.Result(s)Deep bladder endometriosis lesions were extremely heterogeneous, not only in any one patient but also from one patient to another. Bladder muscularis propria presented three aspects: [1] hyperplasia of the fibromuscular tissue (4/11); [2] simple dissociation of the smooth muscle fiber bundles with no veritable "disorganization" (4/11); [3] simple thickening of the interstitial collagen network, or sclerosis (3/11). A histological adenomyotic nodule aspect was only observed in one patient (9%).Conclusion(s)Bladder endometriosis is an enigmatic disease. No hypothesis can be proposed as a single explanation for its pathogenesis.
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Cited by (31)
- Endometriosis vesical y ureteral 2024
- A protocol for creating endometriosis in rhesus macaques (Macaca mulatta) 2023
- The current role of robotic surgery in endometriosis management 2022
- Clinical characteristics difference between early and late recurrence of ovarian endometriosis after laparoscopic cystectomy 2020
- Endometriosis 2020
- ♂♀ Müllerian Lesions of the Bladder: Endometriosis, Endosalpingiosis, Endocervicosis, and Müllerianosis 2019
- Endometriosis 2019
- Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis 2018
- Aspectos clínicos de la endometriosis 2015
- Various anatomic locations of surgically proven endometriosis: A single-center experience 2015
- Development of peritoneal endometriosis: Characterisation of immune environment in peritoneal endometriotic lesions 2015
- Hallazgos laparoscópicos en pacientes sintomáticas portadoras de endometriosis 2015
- Impacts de la chirurgie sur la sexualité des patientes souffrant d'endométriose pelvienne profonde sévère 2015
- Urinary endometriosis: MR Imaging appearance with surgical and histological correlations 2014
- Endometriosis: the role of magnetic resonance imaging 2014
- Etude phénotypique des cellules endométriosiques profondes 2012
- Urinary Tract Endometriosis: Anatomopathology Features 2012
- Anterior pelvic endometriosis: MRI features 2010
- Laparoscopic resection of bladder endometriosis with preservation of the bladder mucosa: A case report. 2009
- Diagnosis and management of bladder endometriosis 2009
- Diagnosis and Management of Bladder Endometriosis 2009
- Traitements des localisations urologiques de l'endométriose 2009
- Endometriosis detrusoriana 2009
- Efficiency of MR imaging to orientate surgical treatment of posterior deep pelvic endometriosis 2008
- Bladder endometriosis: laparoscopic treatment and follow-up 2008
- Image analysis measurements of the microvascularisation in endometrium, superficial and deep endometriotic tissues 2006
- Infiltrating Endometriosis of the Urinary Bladder Mimics Lower Segment Myoma of the Uterus 2005
- Tratamiento de la endometriosis vesical: Revisión de la literatura española 2005
- Association rate between deep peritoneal endometriosis and other forms of the disease: pathogenetic implications 2003
- 10.1016/s2211-0666(22)90732-7 2000
- 10.1016/s0246-1064(14)59712-5 2000
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