Bladder Endometriosis in Perimenopausal Woman- A Rare Case Report

Endometriosis is a gynaecological disease. It is caused by the presence of the endometrial tissue exterior of the uterus. A 45-year-old woman presented with recurrent episodes of dysuria. Computed tomography (CT) scan showed ill-defined mildly enhancing soft tissue density within the vesicouterine region showing loss of fat planes with the posterior wall of the urinary bladder in the region of the trigone s/o bladder endometriosis. The patient was planned for cystoscopy and cystoscopy resection of bladder endometriosis. Endometrioma was resected using a resectoscope. Bilateral ureteric reflexes were elicited, and the rest of the bladder mucosa was normal. Effective treatment of bladder and urethral endometriosis is best done in collaboration with a team of doctors familiar with endometriosis, such as a gynaecological, radiologist, and urologist.