Vesical endometriosis following the menopause

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AI-generated summary by claude@2026-06+body, 2026-06-12

This case report describes vesical endometriosis occurring in a 65-year-old postmenopausal woman treated surgically and hormonally.

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The paper reports a rare case of vesical (bladder) endometriosis in a 65-year-old postmenopausal woman who had undergone abdominal hysterectomy 34 years earlier and had not used exogenous estrogens. The authors describe normal hormone levels for a castrated female and report treatment consisting of transurethral resection followed by subsequent hormonal therapy. A key point emphasized is that urinary tract endometriosis can occur even after menopause, with the main limitation being that this is a single case report. This paper is centrally about endometriosis — it specifically documents vesical endometriosis occurring after menopause.

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Abstract

We report a rare case of vesical endometriosis in a 65-year-old postmenopausal woman. An abdominal hysterectomy had been performed 34 years previously, and exogenous estrogens had not been administered. The hormone levels were normal for a castrated female subject. The patient was treated surgically with transurethral resection and the following hormonal therapy. Endometriosis of the urinary tract can happen even in postmenopausal women.

References

Stewart WW, Ireland GW (1977) Vesical endometriosis in a postmenopausal woman. J Urol 118(3):480–481 Pastor-Navarro H, Gimenez-Bachs JM, Donate-Moreno MJ, Pastor-Guzman JM, Ruiz-Mondejar R, Atienzar-Tobarra M et al (2007) Update on the diagnosis and treatment of bladder endometriosis. Int Urogynecol J Pelvic Floor Dysfunct 18(8):949–954 Skor AB, Warren MM, Mueller EO (1977) Endometriosis of bladder. Urology 9(6):689–692 Neahat CH, Malik S, Osias J et al (2002) Laparoscopic management of 15 patients infiltrating endometriosis of the bladder and a case of primary intravesical endometrioid adenosarcoma. Fertil Steril 78(4):872–875 Swiersz LM (2001) Role of endometriosis in cancer and tumor development. Ann NY Acad Sci 955:281–292 Conflicts of interest None. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Maeda, T., Uchida, Y. & Nakajima, F. Vesical endometriosis following the menopause. Int Urogynecol J 20, 1515–1517 (2009). https://doi.org/10.1007/s00192-009-0925-7 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00192-009-0925-7

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Postmenopause Urinary Bladder Urinary Bladder Diseases Aged Endometriosis Female Humans Urinary Bladder Urinary Bladder Diseases

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