A Rare Case of the Bladder Endometriosis and Overview of the Literature

Şule Atalay Mert, Berna Dilbaz, Seval Yılmaz Ergani, Tuğba Kınay, Aslı Öcal, Özlem Moraloğlu Tekın
In: Medical Research Reports · 2024 · vol. 7(3) , pp. 172–176 · doi:10.55517/mrr.1466301 · W4403748923
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-12 ⓘ

This case report details two postoperative diagnoses of bladder endometriosis, a rare condition causing urinary symptoms, which responded well to conservative gestagen treatment and showed no recurrence after 3-6 months.

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This 2024 paper reports a rare case of bladder endometriosis and provides an overview of the related literature, drawing from prior reports and management discussions. The study is presented as a case report rather than a systematic investigation, so its main contribution is describing the occurrence and summarizing previously published bladder endometriosis experiences. It references prior literature including reports on possible origins of urinary bladder “mullerianosis,” as well as reports of conservative management and medical or surgical approaches. This paper is centrally about endometriosis — specifically bladder endometriosis presented through a rare case and literature overview.

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Abstract

Endometriosis is a chronic, non-cancerous condition characterized by the growth of endometrial tissue outside the uterus. Isolated involvement of the bladder is rare and often part of a broader deep infiltrating pelvic endometriosis. Bladder endometriosis should be considered in cases of unexplained dysuria and urinary symptoms not clarified by imaging or pelvic examination. Magnetic resonance imaging can be used as a diagnostic aid. This case report presents two patients diagnosed with bladder endometriosis postoperatively. Conservative treatment with gestagen preparations was administered. After 3-6 months of follow-up, ultrasonography and symptom assessment showed no recurrence. Clinicians should be aware of bladder endometriosis as a potential cause of persistent urinary symptoms, given its rarity and often delayed diagnosis.
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- Kudva R, Hegde P. Mullerianosis of the urinary bladder. Indian J Urol. 2012;28(2):206–7. https://pubmed.ncbi.nlm.nih.gov/22919142/ - Koren J, Mensikova J, Mukensnabl P, Zamecnik M. Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin. Virchows Arch. 2006;449(2):268–71. https://pubmed.ncbi.nlm.nih.gov/16832656/ - Westney OL, Amundsen CL, Mcguire EJ. Bladder endometriosis:Conservative management. J Urol. 2000;163(6):1814–7. https://www.auajournals.org/doi/10.1016/S0022-5347%2805%2967550-7 - Fedele L, Bianchi S, Montefusco S, Frontino G, Carmignani L. A gonadotropin-releasing hormone agonist versus a continuous oral contraceptive pill in the treatment of bladder endometriosis. Fertil Steril. 2008;90(1):183–4. https://pubmed.ncbi.nlm.nih.gov/18177868/ - Piriyev E, Schiermeier S, Römer T. Laparoscopic Approach in Bladder Endometriosis, Intraoperative and Postoperative Outcomes. In Vivo (Brooklyn). 2023;37(1):357–65. - Foster RH, Wilde MI, Kuhl H, Spona J. Dienogest. Drugs. 1998;56(5):825–33. https://pubmed.ncbi.nlm.nih.gov/9829156/ - Park SY, Kim SH, Chae HD, Kim CH, Kang BM. Efficacy and safety of dienogest in patients with endometriosis: A single-center observational study over 12 months. Clin Exp Reprod Med. 2016;43(4):215–20. www.eCERM.org - Banner H, Murji A. Bladder endometriosis in pregnancy. Am J Obstet Gynecol. 2020;223(3):450. https://pubmed.ncbi.nlm.nih.gov/32142831/ Details Primary Language English Subjects Obstetrics and Gynaecology Journal Section Case Report Authors Berna Dilbaz 0000-0003-1137-8650 Türkiye Tuğba Kınay 0000-0001-5340-1025 Türkiye Aslı Öcal 0000-0002-1553-4051 Türkiye Early Pub Date October 30, 2024 Publication Date October 31, 2024 Submission Date April 7, 2024 Acceptance Date October 3, 2024 Published in Issue Year 2024 Volume: 7 Number: 3

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endometriosisbladder_endometriosis

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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.

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