A Combined Approach: Laparoscopic Partial Bladder Prior Transurethral Resection for Bladder Endometriosis-Case Report and Surgical Video Presentation
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This case report presents a 29-year-old patient with bladder endometriosis treated with a combined laparoscopic partial cystectomy and transurethral resection, resulting in symptom resolution and preserved fertility.
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Abstract
OBJECTIVE: Bladder endometriosis is the presence of stroma and endometrial glands in the thickness of the detrusor muscle. The main symptoms it produces are dysuria and hematuria whose intensity is directly proportional to the size of the nodule. It is a difficult entity to diagnose for which physical examination is essential. Treatment can be medical, with hormonal therapies, or surgical by transurethral resection of the nodule and laparoscopic partial cystectomy.
METHODS: To show a clinical case and review the literature about the technique used.
RESULTS: A 29-year-old patient diagnosed with bladder endometriosis in which a combined approach was decided by laparoscopic partial cystectomy after transurethral resection: the patient came to our office for chronic pelvic pain, dysuria, dysmenorrhea, and a physical examination that showed a painful nodule on the anterior side of the vagina. A transvaginal ultrasound, magnetic resonance imaging, and cystoscopy confirm the diagnosis of bladder endometriosis. After a review of the literature on the management of this entity, the patient's clinic, and reproductive desires, the combined approach with excellent results was decided. Dysmenorrhea and dysuria disappeared, preserving the fertility of the patient who became pregnant 6 months after the intervention.
CONCLUSION: The use of the combined approach allows to reduce the limitations of both techniques separately.
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Cites (4)
- Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions 2010
- Reproductive Outcome Is Favorable After Laparoscopic Resection of Bladder Endometriosis 2016
- Efficacy of Laparoscopic Partial Cystectomy with a Transurethral Resectoscope in Patients with Bladder Endometriosis: See-Through Technique 2020
- Combined transurethral approach with Versapoint® and laparoscopic treatment in the management of bladder endometriosis: technique and 12 months follow-up 2012
Cited by (2)
References (10)
- Combined transurethral approach with Versapoint® and laparoscopic treatment in the management of bladder endometriosis: technique and 12 months follow-up via openalex
- Efficacy of Laparoscopic Partial Cystectomy with a Transurethral Resectoscope in Patients with Bladder Endometriosis: See-Through Technique via openalex
- Reproductive Outcome Is Favorable After Laparoscopic Resection of Bladder Endometriosis via openalex
- Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions via openalex
- W2562313672 via openalex
- W1600608443 via openalex
- W6775387749 via openalex
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Cited by (2)
Source provenance
- europepmc
- last seen: 2026-08-21T06:14:13.963979+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-08-21T06:13:24.956327+00:00
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