Bladder Endometriosis: What do we know and what is left to find out? A narrative review
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This narrative review synthesizes current knowledge on bladder endometriosis, highlighting established facts and identifying areas requiring further investigation.
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Abstract
Bladder endometriosis accounts for 70-85% of urinary tract endometriosis cases. Urinary tract endometriosis occurs in approximately 1% of those living with endometriosis. Underlying aetiology and pathogenesis are not fully understood, but there are several plausible theories. As well as the typical pain symptoms, those with bladder endometriosis can experience several urinary tract symptoms. The manifestation of these symptoms can have complex pathways and processes. Imaging is accurate in the diagnosis of bladder endometriosis and clinicians should be mindful of the risk of silent kidney loss. Management should be guided by symptoms; both medical and surgical options are feasible. Surgical management offers potentially definitive treatment. Excisional surgery via bladder shave or partial cystectomy offers good improvement in symptoms with relatively low rates of serious complications and recurrence.
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Cited by (12)
- Bladder Endometriosis: An Updated Narrative Review with Three Surgical Cases 2026
- Urinary tract involvement in endometriosis: current evidence and clinical insights into navigating diagnosis and management 2026
- Do Individuals With Endometriosis Display Interpretation and Memory Recall Biases Compared With Pain‐Free Controls? A Cross‐Sectional Study 2026
- Living with Endometriosis: A Narrative Experience and Commentary 2026
- A Rare Mimicker: Renal Endometriosis and Its Diagnostic Pitfalls-Review of Reported Cases 2026
- Endometriosis: the current state of the problem 2026
- Diagnostic Accuracy and Surgical Outcomes of Deep Infiltrating Endometriosis Involving the Urinary Tract: A Systematic Review 2026
- Ultrasound in Deep Endometriosis: A Narrative Review 2025
- Can bladder endometriosis be hard to diagnose? A two-case report and literature review 2025
- The Role of MRI in Diagnosis and Pre-Surgical Mapping of Endometriosis 2025
- Bladder Endometriosis: Diagnostic, Therapy, and Outcome of a Single-Center Experience 2025
- Postcesarean Versus Primary Bladder Endometriosis and Coexistent Pelvic Endometriosis: A Systematic Review 2025
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