Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis

Tan SJ, Shun-Jen Tan, Chen CH, Chi-Huang Chen, Shauh-Der Yeh, Yeh SD, Yun-Ho Lin, Lin YH, Chii‐Ruey Tzeng, Chii-Ruey Tzeng, Tzeng CR
Taiwanese journal of obstetrics & gynecology · 2018 · vol. 57(1) , pp. 153–156 · doi:10.1016/j.tjog.2017.12.027 · PMID:29458889 · W2789392320
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This case report describes successful pregnancy in an infertile woman with deep-infiltrating bladder endometriosis after robot-assisted partial cystectomy and modified GnRH agonist treatment.

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Abstract

OBJECTIVE: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment. CASE REPORT: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months. CONCLUSION: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.

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Condition tags

endometriosisbladder_endometriosisdysmenorrheainfertility

MeSH descriptors

Cystectomy Endometriosis Gonadotropin-Releasing Hormone Infertility, Female Urinary Bladder Diseases Adult Combined Modality Therapy Cystectomy Endometriosis Endometriosis Female Gonadotropin-Releasing Hormone Humans Infertility, Female Infertility, Female Laparoscopy Laparoscopy Pregnancy Robotic Surgical Procedures Robotic Surgical Procedures

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 ]

References (26)

Cited by (2)

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License: CC0 · commercial use OK