Update on the diagnosis and treatment of bladder endometriosis

Héctor Pastor-Navarro, José M Giménez-Bachs, María J Donate-Moreno, José M Pastor-Guzman, Rafael Ruíz-Mondéjar, Manuel Atienzar-Tobarra, Antonio S Salinas-Sánchez, Julio A Virserda-Rodriguez
International urogynecology journal and pelvic floor dysfunction · 2007 · doi:10.1007/s00192-007-0342-8 · PMID:17361325
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

Bladder endometriosis, characterized by cyclical pain and menouria, is best diagnosed with cystoscopy and histology, and treatment is individualized based on patient factors using hormonal or surgical approaches.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reviews bladder endometriosis, focusing on its rarity, typical symptoms (including cyclic menouria and urethral/pelvic pain), and the diagnostic and treatment approach. It emphasizes that imaging is not definitive, while cystoscopy is described as the most useful diagnostic test, with histologic confirmation, and that management should be individualized based on age, future pregnancy desires, symptom severity, lesion site, and whether other organs are involved. The main treatment categories covered are medical-hormonal therapy and surgical treatment, but the paper’s caveat is that imaging is not conclusive for diagnosis, which can complicate preoperative certainty. This paper is centrally about endometriosis — it is specifically an update on the diagnosis and treatment of bladder endometriosis.

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Abstract

Bladder endometriosis is rare, although the bladder is the urinary tract structure most often affected by this condition. The common clinical manifestations of bladder endometriosis include menouria and urethral and pelvic pain syndrome occurring cyclically. Imaging methods are not conclusive for the definitive diagnosis. Cystoscopy is the most useful diagnostic test with confirmation by histologic study. Treatment must be individualized according to the patient's age, desire for future pregnancies, the severity of the symptoms, the site affected, and whether other organs are involved. Two types of treatment are currently used as follows: medical-hormonal and surgical.
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Abstract

Bladder endometriosis is rare, although the bladder is the urinary tract structure most often affected by this condition. The common clinical manifestations of bladder endometriosis include menouria and urethral and pelvic pain syndrome occurring cyclically. Imaging methods are not conclusive for the definitive diagnosis. Cystoscopy is the most useful diagnostic test with confirmation by histologic study. Treatment must be individualized according to the patient’s age, desire for future pregnancies, the severity of the symptoms, the site affected, and whether other organs are involved. Two types of treatment are currently used as follows: medical-hormonal and surgical. Similar content being viewed by others

References

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Urology 48:639–643 Sanchez Merino JM, Guillan Maquieira C, Garcia Alonso J (2005) Tratamiento de la endometriosis vesical. Revisión de la literatura española. Arch Esp Urol 58:189–194 Martin A, Plasencia W, Garcia R, Medina N, Garcia JA (2003) Tratamiento laparoscópico de la endometriosis vesical. Prog Obstet Ginecol 46:403 Fedele L, Bianchi S, Zanconato G, Portuese A, Raffaelli R (2001) Use of a levonorgestrel-releasing intrauterine device in the treatment of rectovaginal endometriosis. Fertil Steril 75:485–488 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Pastor-Navarro, H., Giménez-Bachs, J.M., Donate-Moreno, M.J. et al. Update on the diagnosis and treatment of bladder endometriosis. Int Urogynecol J 18, 949–954 (2007). https://doi.org/10.1007/s00192-007-0342-8 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00192-007-0342-8

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Endometriosis Urinary Bladder Diseases Urinary Bladder Diseases Endometriosis Endometriosis Female Humans Urinary Bladder Diseases Urinary Bladder Diseases

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