Open surgery combined with endocrinotherapy for endometriosis of bladder

Objective: To investigate the method of diagnosis and treatment for endometriosis of bladder.Method: The clinical data of 3 patients were analysed retrospectively.Results: Caesarean procedure had been performed in all the 3 patients.Endometriosis of bladder was found in 1 patient by routine checkup and in 2 by periodic abdominal pain and bladder irritation during the menses(one with urodynia and hematuria,another with precipitant urination and urinary frequency).Submucous prominent lumps of bladder were found with cystoscopy in all the 3.Two patients were performed partial cystectomy,and 1 partial hysterectomy additional.In order to prevent relapse,nemestran or mifepristone was given preoperatively and postoperatively to inhibit endometrial proliferation.During a follow-up of 3-7 years,none relapsed.Conclusion: Because of latent and atypical clinical symptoms,endometriosis of bladder is difficult to diagnose,as well cystoscope has a salutary effect for diagnosis.It seems to be cured by surgical therapy with preoperative and postoperative medication.