Bladder endometriosis. Clinical case and literature review

Aleksandra I. Guseva
In: Urology reports (St. - Petersburg) · 2023 · vol. 13(2) , pp. 197–203 · doi:10.17816/uroved108019 · W4385070328
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This paper reviews the clinical presentation, diagnosis, and treatment of bladder endometriosis, discussing its etiology, pathogenesis, classification, and prevalence, along with a case study of a patient with post-surgical bladder endometriosis.

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This paper reviews bladder endometriosis by considering the etiology and pathogenesis of endometriosis, outlining extragenital endometriosis classification, and summarizing prevalence and clinical manifestations, diagnosis, and treatment approaches for urinary system involvement. It also presents a clinical observation of a patient whose bladder endometriosis developed after surgery on pelvic organs, linking the case course to the review of bladder-specific features. The main limitation is that the work is a clinical case plus literature review rather than an original controlled study, so findings are primarily descriptive and dependent on cited sources. This paper is centrally about endometriosis — it focuses specifically on bladder endometriosis, including clinical presentation and diagnostic/treatment discussion, within the broader framework of extragenital disease that may overlap with deep infiltrating concepts related to adenomyosis.

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Abstract

The article presents information about the clinical manifestations, diagnosis and treatment of bladder endometriosis. The issues of etiology and pathogenesis of endometriosis are considered in detail. The classification of extragenital endometriosis is given. Information about the prevalence of endometriosis of the urinary system is given. A clinical observation of a patient with endometriosis of the bladder that developed after surgery on the pelvic organs is presented.
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Bladder endometriosis. Clinical case and literature review - Authors: Guseva A.I.1 - Affiliations: - V.A. Baranov Republican Hospital - Issue: Vol 13, No 2 (2023) - Pages: 197-203 - Section: Сlinical observations - Submitted: 17.05.2022 - Accepted: 28.06.2023 - Published: 18.07.2023 - URL: https://journals.eco-vector.com/uroved/article/view/108019 - DOI: https://doi.org/10.17816/uroved108019 - ID: 108019 Cite item Abstract The article presents information about the clinical manifestations, diagnosis and treatment of bladder endometriosis. The issues of etiology and pathogenesis of endometriosis are considered in detail. The classification of extragenital endometriosis is given. Information about the prevalence of endometriosis of the urinary system is given. A clinical observation of a patient with endometriosis of the bladder that developed after surgery on the pelvic organs is presented. Full Text About the authors Aleksandra I. Guseva V.A. Baranov Republican Hospital Author for correspondence. Email: [email protected] urologist Russian Federation, 3 Pirogova st., Petrozavodsk, Republic of Karelia, 185910References - www.who.int [Internet]. Ehndometrioz. Available at: https://www.who.int/ru/news-room/fact-sheets/detail/endometriosis (In Russ.) - Del Frate C, Girometti R, Pittino M, et al. Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. Radiographics. 2006;26(6):1705–1718. doi: 10.1148/rg.266065048. - Menni K, Facchetti L, Cabassa P. Extragenital endometriosis: assessment with MR imaging. A pictorial review. Br J Radiol. 2016;89(1060):20150672. doi: 10.1259/bjr.20150672 - Akbulut S, Sevinc MM, Bakir S, et al. Scar endometriosis in the abdominal wall: a predictable condition for experienced surgeons. Acta Chir Belg. 2010;110(3):303–307. doi: 10.1080/00015458.2010.11680621 - Markham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin North Am. 1989;16(1):193–219. doi: 10.1016/S0889-8545(21)00147-9 - Horne AW, Saunders PTK. SnapShot: Endometriosis. Cell. 2019;179(7):1677–1677.e1. doi: 10.1016/j.cell.2019.11.033 - Vallvé-Juanico J, Houshdaran S, Giudice LC. The endometrial immune environment of women with endometriosis. Hum Reprod Update. 2019;25(5):564–591. doi: 10.1093/humupd/dmz018 - Sznurkowski JJ, Emerich J. Endometriomas are more frequent on the left side. Acta Obstet Gynecol Scand. 2008;87(1):104–106. doi: 10.1080/00016340701671929 - Parazzini F, Ferraroni M, Fedele L, et al. Pelvic endometriosis: reproductive and menstrual risk factors at different stages in Lombardy, northern Italy. J Epidemiol Community Health. 1995;49(1):61–64. doi: 10.1136/jech.49.1.61 - Chauhan S, More A, Chauhan V, Kathane A. Endometriosis: A Review of Clinical Diagnosis, Treatment, and Pathogenesis. Cureus. 2022;14(9): e28864. doi: 10.7759/cureus.28864 - Koninckx PR, Barlow D, Kennedy S. Implantation versus infiltration: the Sampson versus the endometriotic disease theory. Gynecol Obstet Invest. 1999;47(S1):3–10. doi: 10.1159/000052853 - Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril. 2012;98(3):511–519. doi: 10.1016/j.fertnstert.2012.06.029 - Seracchioli R, Mabrouk M, Montanari G, et al. Conservative laparoscopic management of urinary tract endometriosis (UTE): surgical outcome and long-term follow-up. Fertil Steril. 2010;94(3):856–861. doi: 10.1016/j.fertnstert.2009.04.019 - Gabriel B, Nassif J, Trompoukis P, et al. Prevalence and management of urinary tract endometriosis: a clinical case series. Urology. 2011;78(6):1269–1274. doi: 10.1016/j.urology.2011.07.1403 - Berlanda N, Vercellini P, Carmignani L, et al. Ureteral and vesical endometriosis. Two different clinical entities sharing the same pathogenesis. Obstet Gynecol Surv. 2009;64(12):830–842. doi: 10.1097/OGX.0b013e3181c4bc3a - Fuentes Pastor J, Ballestero Diego R, Correas Gómez MÁ, et al. Bladder endometriosis and endocervicosis: presentation of 2 cases with endoscopic management and review of literature. Case Rep Urol. 2014;2014:296908. doi: 10.1155/2014/296908 - Fedele L, Piazzola E, Raffaelli R, Bianchi S. Bladder endometriosis: deep infiltrating endometriosis or adenomyosis? Fertil Steril. 1998;69(5):972–975. doi: 10.1016/s0015-0282(98)00048-x - Maccagnano C, Pellucchi F, Rocchini L, et al. Diagnosis and treatment of bladder endometriosis: state of the art. Urol Int. 2012;89(3):249–258. doi: 10.1159/000339519 - Comiter CV. Endometriosis of the urinary tract. Urol Clin North Am. 2002;29(3):625–635. doi: 10.1016/s0094-0143(02)00065-4 - Slesarevskaya MN, Ignashov YA, Kuzmin IV, Al-Shukri SK. Persistent dysuria in women: etiological diagnostics and treatment. Urology reports (St. Petersburg). 2021;11(3):195–204. (In Russ.) doi: 10.17816/uroved81948 - Westney OL, Amundsen CL, McGuire EJ. Bladder endometriosis: conservative management. J Urol. 2000;163(6):1814–1817. doi: 10.1016/s0022-5347(05)67550-7 - Leonardi M, Espada M, Kho RM, et al. Endometriosis and the urinary tract: from diagnosis to surgical treatment. Diagnostics (Basel). 2020;10(10):771. doi: 10.3390/diagnostics10100771 - Pérez-Utrilla Pérez M, Aguilera Bazán A, Alonso Dorrego JM, et al. Urinary tract endometriosis: clinical, diagnostic, and therapeutic aspects. Urology. 2009;73(1):47–51. doi: 10.1016/j.urology.2008.08.470 - Ischenko AI, Aleksandrov LS, Chushkov YuV, et al. Affected urinary organs at the infiltrative endometriosis. Sechenov Medical Journal. 2014;(2):23–31. (In Russ.) - Pechenikova VA, Kostyuchek DF. Extragenital endometriosis: clinicopathologic and immunohistochemical analysis of 45 observations with diverse organ localization. Journal of obstetrics and women’s diseases. 2010;(2):69–77. (In Russ.) - Haga T, Kumasaka T, Kurihara M, et al. Immunohistochemical analysis of thoracic endometriosis. Pathol Int. 2013;63(9):429–434. doi: 10.1111/pin.12089 - Rossiiskoe obshchestvo akusherov-ginekologov. Klinicheskie rekomendatsii: Ehndometrioz MKB10: N80. 2020. Available at: https://cr.minzdrav.gov.ru/schema/259_1 (In Russ.) - Leone Roberti Maggiore U, Ferrero S, Candiani M, et al. bladder endometriosis: a systematic review of pathogenesis, diagnosis, treatment, impact on fertility, and risk of malignant transformation. Eur Urol. 2017;71(5):790–807. doi: 10.1016/j.eururo.2016.12.015 - Antonelli A, Simeone C, Zani D, et al. Clinical aspects and surgical treatment of urinary tract endometriosis: our experience with 31 cases. Eur Urol. 2006;49(6):1093–1097. doi: 10.1016/j.eururo.2006.03.037

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