Analysis of clinical diagnosis and treatment of 10 cases of bladder endometriosis

Yong Luo, Jianghua Zhao
In: International Urology and Nephrology · 2017 · vol. 37(6) , pp. 887–889 · doi:10.3760/cma.j.issn.1673-4416.2017.06.026 · W3029973190
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This retrospective analysis of ten bladder endometriosis cases demonstrates that partial bladder resection combined with postoperative GnRH-a therapy yields satisfactory outcomes with no recurrence.

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This retrospective study analyzed the clinical diagnosis and treatment outcomes of ten patients with bladder endometriosis treated between 2004 and 2013. The authors determined that accurate diagnosis relies on integrating clinical history, imaging modalities such as ultrasound or MRI, and cystoscopy, while noting that endoscopic biopsy facilitates early confirmation. All ten patients underwent partial bladder resection followed by adjuvant gonadotropin-releasing hormone agonist therapy, resulting in no observed recurrence during the follow-up period. This paper is centrally about endometriosis — specifically focusing on the surgical management and postoperative hormonal suppression for deep infiltrating lesions affecting the urinary bladder.

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10例膀胱子宫内膜异位症的临床诊疗分析 Analysis of clinical diagnosis and treatment of 10 cases of bladder endometriosis 摘要目的 探讨膀胱子宫内膜异位症的诊断和治疗方法.方法 回顾性分析2004年至2013年本院收治10例膀胱子宫内膜异位症的临床资料及诊疗方法.结果 10例患者均行膀胱部分切除术,术后病理检查均证实为膀胱子宫内膜异位症,术后辅助促性腺激素释放激素激动剂(GnRH-a)治疗,随访至今无复发,疗效满意.结论 膀胱子宫内膜异位症诊断依靠临床特点、病史及影像学,包括B超、MRI或CT扫描等及膀胱镜检查,如能镜下取活检,则能早期确诊,治疗方法的选择取决于患者的年龄、生育要求、病变的范围、泌尿系症状的严重程度,膀胱部分切除术为首选治疗方式且临床效果好,术后辅助GnRH-a治疗,可预防复发. 更多相关知识 abstractsObjective To investigate the diagnosis and treatment of bladder endometriosis.Methods The clinical data of 10 cases of bladder endometriosis in our hospital from 2013 to 2004 were retrospectively analyzed.Results Ten patients underwent partial bladder resection,postoperative pathological examination were confirmed by actually bladder endometriosis,postoperative adjuvant gonadotropin releasing hormone agonist (GnRH-a) therapy,up to now,there was no relapse occurred,the curative effect was satisfied.Conclusions Bladder endometriosis is diagnosed by clinical characteristics,medical history and imaging,including ultrasound,MRI or CT scanning and cystoscopy.Endoscopic biopsy can help to achieve early diagnosis.Choice of treatment depends on patient's age,fertility requirements,scope of the lesions,the severity of the symptoms of urinary tract.Partial bladder resection is the preferred treatment with good effect,the postoperative adjuvant GnRH-a therapy can reduce the recurrence. More相关知识 - 浏览0 - 被引5 - 下载0 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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