Diagnosis and treatment of bladder endometriosis

Bo Liang, Xiaoqiang Liu, Yi Wang, Guang Sun, Zhenfeng Zhang, Ying-Li Lin, Zhanjun Guo
In: Zhonghua miniao waike zazhi · 2012 · vol. 33(12) , pp. 922–924 · doi:10.3760/cma.j.issn.1000-6702.2012.12.011 · W2589209543
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This retrospective study reviewed 10 bladder endometriosis cases, finding urinary symptoms or hematuria common, and partial cystectomy effective with no recurrences in follow-up.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-17 · read from full text ⓘ

The paper studied the clinical characteristics, diagnostic approaches, treatment, and prognosis of bladder endometriosis in 10 women aged 30–48 years using a retrospective review of medical records. Most patients presented with menstrual-associated urinary tract irritation symptoms (urinary frequency/urgency/dysuria) and some had hematuria, while two were asymptomatic and found during examination; imaging described a low- to medium-echogenic, single, wide-based bladder wall mass on ultrasound and a soft-tissue density lesion protruding into the bladder on CT. All diagnoses were confirmed by cystoscopy and pathological biopsy, with treatment consisting mainly of partial cystectomy (8 cases) and transurethral electrocautery/resection (2 cases). During follow-up (10–72 months; median ~30 months), there were no recurrences or distant ectopic lesions, though the small sample size and retrospective design limit generalizability. This paper is centrally about endometriosis — specifically bladder endometriosis and its diagnosis and surgical treatment.

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Abstract

Objective To investigate the clinical feature,diagnosis,treatment and prognosis of endometriosis of the bladder.Methods A retrospective study was conducted to review the clinical data of 10 patients with bladder endometriosis.Patient's age ranged from 30 to 48 years (with mean age of 38 years).Eight cases were admitted to hospital with urinary tract irritating symptoms during the menstrual period and 6 cases with hematuria; 2 patients without any symptoms were found through examination.The course of disease was 1-36 months (with mean of18 months).Ultrasound shows with low echo,single,wide base and no significant blood flow mass whose boundaries are less clear within the bladder wall.CT reveals soft-mass protruding into the bladder.Results Eight of the 10 patients were undergone partial cystectomy.And 2 cases was treated with transurethral resection.All cases were pathologically confirmed to be bladder endometriosis.Recurrence and ectopic lesion had not be found during follow-up period from 10 to 72 months (with mean of 30 ± 5.6 mon).Conclusions Endometriosis is a common disease in females in their reproductive years,but thebladder endometriosis is rare.The initial diagnosis needs to be made combining with imaging studies.It is confirmed by cystoscopy and pathological biopsy.Surgery is the option for the treatment of bladder endometriosis. Key words: Bladder; Endometriosis; Diagnosis; Treatment
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摘要目的 探讨膀胱子宫内膜异位症的临床特点、诊治方法及预后. 方法 回顾性分析10例膀胱子宫内膜异位症患者的临床资料,年龄30 ～48岁,平均38岁.8例以经期尿路刺激症状为主,主要表现为尿频、尿急、尿痛,其中伴血尿6例,伴下腹痛2例；2例无任何症状,为体检时发现.病程1 ～36个月,平均18个月.B超检查提示膀胱壁内边界欠清的低或中低回声肿物,单发,宽基底,内部回声不均,无明显血流信号.CT检查提示突入膀胱内的软组织密度肿物. 结果 10例患者中行膀胱部分切除术8例,行经尿道电切治疗2例.术后病理诊断均为膀胱子宫内膜异位症.术后随访10 ～72个月,中位随访时间(30.0±5.6)个月,均无复发及远处异位. 结论 子宫内膜异位至膀胱者少见,结合影像学资料能够初步诊断,确诊依靠膀胱镜检及病理活检,治疗以手术为主. 更多相关知识 abstractsObjective To investigate the clinical feature,diagnosis,treatment and prognosis of endometriosis of the bladder.Methods A retrospective study was conducted to review the clinical data of 10 patients with bladder endometriosis.Patient's age ranged from 30 to 48 years (with mean age of 38 years).Eight cases were admitted to hospital with urinary tract irritating symptoms during the menstrual period and 6 cases with hematuria; 2 patients without any symptoms were found through examination.The course of disease was 1-36 months (with mean of18 months).Ultrasound shows with low echo,single,wide base and no significant blood flow mass whose boundaries are less clear within the bladder wall.CT reveals soft-mass protruding into the bladder.Results Eight of the 10 patients were undergone partial cystectomy.And 2 cases was treated with transurethral resection.All cases were pathologically confirmed to be bladder endometriosis.Recurrence and ectopic lesion had not be found during follow-up period from 10 to 72 months (with mean of 30 ± 5.6 mon).Conclusions Endometriosis is a common disease in females in their reproductive years,but thebladder endometriosis is rare.The initial diagnosis needs to be made combining with imaging studies.It is confirmed by cystoscopy and pathological biopsy.Surgery is the option for the treatment of bladder endometriosis. More相关知识 - 浏览308 - 被引9 - 下载152 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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