Urinary incontinence and bladder endometriosis: conservative management

Umberto Leone Roberti Maggiore, Simone Ferrero, Stefano Salvatore
International urogynecology journal · 2014 · vol. 26(1) , pp. 159–162 · doi:10.1007/s00192-014-2487-6 · PMID:25182151 · W2005951657
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This case report describes the first instance of bladder endometriosis causing mixed urinary incontinence, which improved with dienogest treatment after the patient declined surgery.

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Abstract

Bladder endometriosis causes urinary symptoms including frequency, dysuria, cyclic haematuria and non-urinary pain symptoms. To our knowledge, the association of bladder endometriosis with urinary incontinence has not been described. We present the first case of bladder endometriosis that caused urinary symptoms including mixed urinary incontinence (MUI). A 34-year-old nulliparous woman was referred to our urogynaecology clinic with a 18-month history of urgency urinary incontinence (UUI) and stress urinary incontinence (SUI). A diagnosis of bladder endometriosis was performed on the basis of symptoms and imaging. The patient refused surgery and dienogest was prescribed. At the 12-month follow-up, all endometriosis-related symptoms and questionnaire scores had significantly improved, and there was resolution of the abnormal urodynamic findings. In reproductive-aged women suffering pain symptoms, bladder endometriosis should be considered in the differential diagnosis of urinary incontinence and treatment with dienogest may lead to improvement of both urinary and pain symptoms.

References

Ferrero S, Biscaldi E, Luigi Venturini P, Remorgida V (2011) Aromatase inhibitors in the treatment of bladder endometriosis. Gynecol Endocrinol 27:337–340 Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A (2011) Prevalence and management of urinary tract endometriosis: a clinical case series. Urology 78:1269–1274 Serati M, Cattoni E, Braga A, Uccella S, Cromi A, Ghezzi F (2013) Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world. Fertil Steril 100:1332–1336 Possover M (2014) Pathophysiologic explanation for bladder retention in patients after laparoscopic surgery for deeply infiltrating rectovaginal and/or parametric endometriosis. Fertil Steril 101:754–758 Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Conflicts of interest Dr Umberto Leone Roberti Maggiore and Dr Simone Ferrero did not report any potential conflicts of interest; Dr Stefano Salvatore had a financial relationship (lectures, member of advisory boards and/or consultant) with Pfizer Inc and Astellas. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Leone Roberti Maggiore, U., Ferrero, S. & Salvatore, S. Urinary incontinence and bladder endometriosis: conservative management. Int Urogynecol J 26, 159–162 (2015). https://doi.org/10.1007/s00192-014-2487-6 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00192-014-2487-6

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Condition tags

mesh:D004715endometriosisbladder_endometriosis

MeSH descriptors

Antineoplastic Agents, Hormonal Endometriosis Nandrolone Urinary Bladder Diseases Urinary Incontinence Adult Antineoplastic Agents, Hormonal Endometriosis Endometriosis Female Humans Nandrolone Nandrolone Urinary Bladder Diseases Urinary Bladder Diseases Urinary Incontinence Urinary Incontinence

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