Pregnancy after laparoscopic partial cystectomy for bladder endometriosis

Jean Dubuisson, J B Dubuisson, C Chapron, Charles Chapron, F X Aubriot, Mohammed A. Osman, M Osman, Marc Zerbib, M Zerbib
Human Reproduction · 1994 · vol. 9(4) , pp. 730–732 · doi:10.1093/oxfordjournals.humrep.a138579 · PMID:8046031 · W2254269580
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Laparoscopic partial cystectomy was performed to successfully treat recurrent bladder endometriosis in a 31-year-old infertile patient, who subsequently achieved a normal pregnancy.

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Abstract

We report a case of partial laparoscopic cystectomy in a 31-year-old infertile patient presenting vesical endometriosis. This patient had suffered severe dysmenorrhoea for 10 years previously together with repeated episodes of urinary infection, mostly occurring during the menstrual period. A diagnostic laparoscopy performed in another centre diagnosed a stage IV endometriosis. Gonadotrophin-releasing hormone agonists were prescribed for 9 months. After failure of this treatment, the patient came to consult us. A solid mass in the left supratrigone was detected by pelvic ultrasonography and confirmed by cystoscopy. Transurethral resection was carried out. A recurrence of the symptoms 9 months later prompted operative laparoscopy under cystoscopic control. This confirmed recurrence of a 3.5 cm endometriotic nodule. Laparoscopic partial cystectomy was performed using the monopolar electrode. The bladder was then sutured via laparoscopy. No complications occurred. No postoperative treatment was given. Second-look cystoscopy 2 months later revealed that healing was perfect. Eight months later, the patient is well and has a normal intra-uterine pregnancy.

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Condition tags

endometriosisbladder_endometriosisdysmenorrhea

MeSH descriptors

Cystectomy Endometriosis Laparoscopy Urinary Bladder Diseases Adult Endometriosis Female Humans Pregnancy Urinary Bladder Diseases Urinary Bladder Diseases

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (16)

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