Diagnosis and management of bladder endometriosis

Simone Ferrero, Stefano Bogliolo, Mario Valenzano Menada, Nicola Ragni, Ennio Biscaldi, Giovanni Camerini, Valentino Remorgida
2009 · vol. 1 , pp. 113–121 · doi:10.5301/je.2010.841 · W2343802485
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Bladder endometriosis, defined as full-thickness detrusor infiltration, presents with nonspecific urinary symptoms and is diagnosed preoperatively via ultrasound and MRI, with surgical excision being the gold standard treatment.

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Abstract

ABSTRACT: Bladder endometriosis is defined as full-thickness infiltration of the detrusor; small sub- peritoneal implants and small nodules of the vesicouterine fold cannot be considered to be bladder endometriosis. In women with endometriosis, urinary tract involvement is rare (1% to 5% of cases) but the bladder is affected in 80% to 84% of these cases. Symptoms of bladder endometriosis are various and not specific: besides pain symptoms, patients may complain of urinary frequency, urgency, urge incontinence, dysuria, and hematuria. Although bladder endometriosis may be suspected at vagi- nal examination, the preoperative diagnosis is based on transvaginal ultrasonography and magnetic resonance imaging. Medical therapies may temporarily reduce the severity of symptoms related to the presence of vesical endometriosis; however, the symptoms may persist in cases of large bladder nodules or may recur after cessation of therapy. Surgery represents the gold standard for treatment of bladder endometriosis and laparoscopy should be preferred to laparotomy. Excision of bladder nodules may be performed either by partial-thickness resection or by partial cystectomy according to the size and depth of the infiltration of the lesions in the bladder wall. Persistent improvement of symptoms has been demonstrated at long-term follow-up, particularly when the lesions involve the vesical dome.

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Condition tags

endometriosisbladder_endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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