Bladder detrusor endometriosis: clinical and pathogenetic implications

Vercellini P, P Vercellini, Paolo Vercellini, Michele Meschìa, M Meschia, Meschia M, Olga De Giorgi, De Giorgi O, O De Giorgi, S Panazza, Stefania Panazza, Panazza S, Cortesi I, Ilenia Cortesi, I Cortesi, Crosignani PG, P. G. Crosignani, Pier Giorgio Crosignani
Journal of Urology · 1996 · vol. 155(1) , pp. 84–86 · doi:10.1016/s0022-5347(01)66550-9 · PMID:7490905 · W2131631318
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This study analyzed 8 cases of bladder detrusor endometriosis, identifying spontaneous and post-cesarean forms, catamenial bladder symptoms as diagnostic, and partial cystectomy as a curative treatment.

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Abstract

PURPOSE: We examined the pathogenesis of vesical endometriosis, identified the diagnostic signs and defined a successful management strategy. MATERIALS AND METHODS: The records of 8 patients with bladder detrusor endometriosis were reviewed. RESULTS: Two distinct forms of the condition appear to exist, that is spontaneous and post-cesarean. In the former case the bladder lesion is a manifestation of a generalized pelvic disease, whereas after iatrogenic dissemination growth of ectopic endometrium is usually limited to the bladder wall. The catamenial nature of bladder symptoms (frequency, urgency, dysuria and tenesmus) was pathognomonic. Cystoscopy with biopsy was diagnostic in 3 cases. Ultrasonography revealed an endo-luminal vegetation and ruled out an anterior uterine leiomyoma, whereas magnetic resonance imaging did not add relevant information. Partial cystectomy appears to cure the urinary disturbances. CONCLUSIONS: We suggest a high index of suspicion of vesical endometriosis in all premenopausal women complaining of catamenial bladder symptoms with negative urine cultures.

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Urinary Bladder Urinary Bladder Diseases Adult Adult Cesarean Section Cesarean Section Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Iatrogenic Disease Iatrogenic Disease Postoperative Complications Postoperative Complications Postoperative Complications

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (11)

Cited by (50)

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