Resection of a large endometriotic nodule of the bladder using a combined laparoscopic and cystoscopic approach (“light to light technique”)

Bladder endometriosis is uncommon yet a cause of cyclical disabling urinary symptoms. Surgical excision of the bladder endometriotic nodule using combined cystoscopic and laparoscopic approach (“light to light technique”) remains the best approach where surgery is deemed the mode of treatment. A 31-year-old infertile woman underwent resection of endometriosis of the bladder by this method. The main surgical steps included ureteric stenting, bladder mobilization, marking the endometriotic nodule cystoscopically, cystoscopic transillumination, completion of the bladder nodule excision laparoscopically and bladder repair.