Tratamiento de la endometriosis vesical: Revisión de la literatura española

Sánchez Merino JM, José María Sánchez Merino, C Guillán Maquieira, Guillán Maquieira C, Cristina Guillán Maquieira, Jesús García Alonso, García Alonso J
Archivos espanoles de urologia · 2005 · vol. 58(3) , pp. 189–94 · doi:10.4321/s0004-06142005000300001 · PMID:15906611 · W2031210232
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review of 28 Spanish literature cases found transurethral resection was the most common treatment for bladder endometriosis, but partial cystectomy showed no recurrences after treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This Spanish-language literature review addresses treatment options for bladder endometriosis, synthesizing findings reported in the existing Spanish urology literature. It summarizes the approaches used for vesical involvement, focusing on the therapeutic strategies described across case reports and clinical experiences rather than introducing new experimental data. A key limitation is that, as a review, it relies on the heterogeneity and scope of the underlying published reports and does not provide quantitative comparative efficacy across treatments. This paper is centrally about endometriosis — specifically bladder (vesical) endometriosis and its treatment options as reviewed in Spanish literature.

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Abstract

OBJECTIVES: To perform a comprehensive, up-to-date review of the treatment of all cases of bladder endometriosis published in Spanish language journals in our country, including those published in non-urological scientific journals. METHODS: We identified 28 cases of bladder endometriosis published in the Spanish literature. The treatment performed in each case has been studied, as well as the treatment of relapses and follow-up after definitive treatment. Age and history of caesarean section were registered. RESULTS: Mean patient age was 35 years, with a median of 34 years and limits of 27 and 48. The history of caesarean section is present in 11 cases (39%). Several therapeutic regiments have been followed. Watchful waiting was only undertaken in one case due to the absence of urinary symptoms. Three patients received medical therapy initially. Only one of them had a favourable response. The other two underwent partial cystectomy and transurethral resection (TUR) respectively due to negative response. Transurethral resection was the most frequently used therapeutic modality; it was performed in 19 patients in addition to the aforementioned case. Bladder endometriosis recurred in 7 cases after TUR. Four of these cases underwent partial cystectomy, one of them laparoscopic, and three a second transurethral resection. Partial cystectomy was the initial therapeutic option in 5 cases. 4 of them were open and 1 laparoscopic. No recurrences have been described after partial cystectomy, including those performed for TUR failures. Mean follow-up was 37 months and median follow-up 12 months, being the limits 3 and 192 months. CONCLUSIONS: To date most published cases of bladder endometriosis appear in urologic journals. The most common therapeutic modality is transurethral resection, carried out in 20 cases (71%). However, it is necessary to inform the patient about the chances of treatment failure after TUR, around 35% after this review. Finally, the reported cases treated by laparoscopic partial cystectomy have been published by gynaecologists.
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TRATAMIENTO DE LA ENDOMETRIOSIS VESICAL. REVISIÓN DE LA LITERATURA ESPAÑOLA José María Sánchez Merino, Cristina Guillán Maquieira, Jesús García Alonso PDF(29 KB) Archivos Españoles de Urología ›› 2005, Vol. 58 ›› Issue (3) : 189-194. DOI: 10.4321/S0004-06142005000300001 TRATAMIENTO DE LA ENDOMETRIOSIS VESICAL. REVISIÓN DE LA LITERATURA ESPAÑOLA - {{javascript:window.custom_author_en_index=0;}} - , {{custom_author.name_en}} {{custom_author.xref}} {{javascript:window.custom_author_en_index++;}} - {{article.zuoZhe_EN}} Author information + History + {{article.keyPoints_en}} | {{custom_ref.label}} | {{custom_citation.content}} {{custom_citation.annotation}} | {{article.reference}} {{custom_fund}} {{article.copyrightStatement_en}} {{article.copyrightLicense_en}} / | 〈 | 〉 |

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Urinary Bladder Diseases Endometriosis Female Humans 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.

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