Robot-assisted partial cystectomy for bladder endometriosis: dual approach involving cystoscopy and robotic surgery
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This study describes a dual approach using cystoscopy and robotic surgery for robot-assisted partial cystectomy to completely excise bladder endometriosis nodules.
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Abstract
Bladder endometriosis accounts for 70%-85% cases of urinary tract endometriosis. A high index of suspicion is needed to diagnose this condition as most women have associated pelvic and menstrual complaints. The presence of cyclical haematuria along with tender anterior vaginal wall should alert the gynaecologist or urologist to consider this rare entity. Treatment is medical therapy followed by surgery when needed. Transurethral resection of endometriotic spot is the commonly used approach but to completely excise the endometriotic nodule, bladder resection at the site of nodule is needed along with repair of cut bladder margins. Herein, we describe a dual surgical approach where the margins of the endometriotic spot were delineated and cut using cystoscopy, followed by robotic approach to completely excise the nodule along with bladder repair. Robotic approach seems safer and easier in this complex surgery owing to dense adhesions in such cases.
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Cited by (5)
- Bladder endometriosis in a patient with undirected manifestations, a rare case report. 2025
- Postcesarean Versus Primary Bladder Endometriosis and Coexistent Pelvic Endometriosis: A Systematic Review 2025
- Bladder endometeriosis with recurrent urinary tract infection as a rare case report 2024
- Combined Cystoscopic-Abdominal Versus Abdominal-Only Route for Complete Excision of Large Deep Endometriosis Nodules Infiltrating the Supratrigonal Area of the Bladder: A Comparative Study 2024
- Robotic Surgery for Bladder Endometriosis: A Systematic Review and Approach 2023
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:24:26.422845+00:00
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