Endometriosis vesical: A propósito de un nuevo caso y revisión de la literatura

In: Archivos Españoles de Urología (Ed. impresa) · 2006 · vol. 59(3) · doi:10.4321/s0004-06142006000300012 · W2035464654
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This case report and literature review describe a 34-year-old woman successfully treated for bladder endometriosis with transurethral resection followed by hormonal therapy, emphasizing the importance of early diagnosis and surgical intervention.

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This case report and literature review describes a patient with vesical endometriosis who presented with cyclic hematuria and dysuria, symptoms that were confirmed through cystoscopy and histological examination after surgical excision. The authors analyze the clinical presentation, diagnostic challenges, and therapeutic management of this rare form of extragenital endometriosis, emphasizing the importance of considering bladder involvement in women with pelvic pain and urinary symptoms. They highlight that while bladder endometriosis is uncommon, it requires specific diagnostic approaches such as ultrasound and MRI to distinguish it from other urological conditions before definitive treatment can be planned. This paper is centrally about endometriosis — specifically focusing on the rare manifestation of deep infiltrating endometriosis affecting the urinary bladder.

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Abstract

OBJECTIVE: To report a new case of bladder endometriosis and to perform a bibliographic review. METHODS: We report the case of a 34-year-old female with the diagnosis of bladder endometriosis treated by transurethral resection and subsequent hormonal therapy with good outcome one year after diagnosis. RESULTS: Treatment with analogs was started after TUR, in conjunction with the Gynecology Department, and maintained six months. The patient remained asymptomatic one year after diagnosis, with a negative cystoscopic study. CONCLUSIONS: We emphasize the need of early diagnosis due to the increased morbidity and health-care expenses; also the need of surgical treatment of all urological lesions before any hormonal therapy, mainly ureteral lesions. We finally emphasize that definitive treatment should be performed by the gynecologist.
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ENDOMETRIOSIS VESICAL. A PROPÓSITO DE UN NUEVO CASO Y REVISIÓN DE LA LITERATURA José Antonio Cánovas Ivorra, José María Castillo Gimeno, Jesús Michelena Barcena, Daniel Alberto Ramírez, José Vera Román PDF(234 KB) Archivos Españoles de Urología ›› 2006, Vol. 59 ›› Issue (3) : 290-292. DOI: 10.4321/S0004-06142006000300012 ENDOMETRIOSIS VESICAL. A PROPÓSITO DE UN NUEVO CASO Y REVISIÓN DE LA LITERATURA - {{javascript:window.custom_author_en_index=0;}} - , {{custom_author.name_en}} {{custom_author.xref}} {{javascript:window.custom_author_en_index++;}} - {{article.zuoZhe_EN}} Author information + History + {{article.keyPoints_en}} | {{custom_ref.label}} | {{custom_citation.content}} {{custom_citation.annotation}} | {{article.reference}} {{custom_fund}} {{article.copyrightStatement_en}} {{article.copyrightLicense_en}} / | 〈 | 〉 |

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endometriosisbladder_endometriosis

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