Adenomyosis invades bladder-A case report

Bladder endometriosis secondary to an adenomyosis is a rare variety of deep endometriosis with nonspecific symptoms such as dysuria, frequency, urgency, hematuria and bladder pain.We report a case of a 38-year-old woman with gravida 1, parity 1 presented to the department of urology at a polyclinic hospital for dysuria during her menstruation.Due to the diagnosis of bladder endometriosis she was treated with laparoscopic partial cystectomy and ureteral reimplantation and GnRH agonist 3.75 mg each 4 weeks.After 4 months of GnRH agonist regimen, the patient suffered from severe menopausal disorders so she consulted with a gynecologist.The pelvic examination, ultrasound scan, and MRI (Magnetic Resonance Imaging) revealed an adenomyosis, a progestogen releasing intrauterine device (LNGIUD) was inserted.Management of bladder endometriosis may be required both surgical and medical treatment, so the patient should be treated at a referral hospital where cooperation between urologist and gynecologist is available.