A surgical case involving bladder endometriosis

Claudia Cheng, Martin Healey, Anita Clarke
International urogynecology journal · 2013 · vol. 24(7) , pp. 1083–1084 · doi:10.1007/s00192-012-1995-5 · PMID:23306766 · W2029923647
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-11 ⓘ

This paper demonstrates a complex laparoscopic and transurethral surgical case of a 4-cm bladder endometriotic nodule requiring a multidisciplinary approach.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-11 · read from full text ⓘ

This paper reports a surgical case demonstrating severe bladder endometriosis with a 4-cm endometriotic nodule that obliterated the uterovesical pouch and invaded the bladder. The authors describe a combined laparoscopic and transurethral operative approach, with video documentation of excision of the nodule and partial cystectomy, performed by two gynaecological laparoscopic surgeons and a urologist, noting dense adhesions between the nodule, bladder, and uterus that made the surgery technically difficult. The paper’s key contribution is presenting the case and the multidisciplinary and technical challenges, with the explicit limitation that it is a single case presented as a video demonstration rather than broader study evidence. This paper is centrally about endometriosis — it specifically documents a severe case of bladder endometriosis managed via combined laparoscopic and transurethral surgery.

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Abstract

Introduction and hypothesis The purpose is to demonstrate a surgical case of severe endometriosis involving a bladder endometriotic nodule.

Methods

This 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.

Results

This 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.

Conclusions

Endometriosis 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.

References

Schneider A, Touloupidis S, Papatsoris AG et al (2006) Endometriosis of the urinary tract in women of reproductive age. Int J Urol 13:902–904 Berlanda 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 Litta 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 Pang 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 Seracchioli R, Mannini D, Colombo FM et al (2001) Cystoscopy-assisted laparoscopic resection of extramucosal bladder endometriosis. J Endourol 16(9):663–666 Nerli RB, Reddy M, Koura AC et al (2008) Cystoscopy-assisted laparoscopic partial cystectomy. J Endourol 22(1):83–86 Conflicts of interest None. Author information Authors and Affiliations Corresponding author Electronic supplementary material Below is the link to the electronic supplementary material. (MP4 28517 kb) Rights and permissions About this article Cite this article Cheng, 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 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00192-012-1995-5

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Urinary Bladder Diseases Adult Endometriosis Female Humans Urinary Bladder Diseases

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