Laparoscopic resection of bladder endometriosis with preservation of the bladder mucosa: A case report.

Futoshi Arakane, Takeshi Ujioka, Nao Yamamoto, Masaki Tajima, Kyoko Hayashi, Naoki Nakamura
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2009 · vol. 25(2) , pp. 375–378 · doi:10.5180/jsgoe.25.375 · W2315237863
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⚙ AI-generated summary by claude@2026-06, 2026-06-27 ⓘ

This case report details a successful laparoscopic extramucosal resection of a bladder endometriotic nodule, preserving the bladder mucosa and resolving urinary symptoms.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-06 · read from full text ⓘ

This 2009 case report describes a 28-year-old woman with dysmenorrhea and mild urodynia in whom an 11 mm blue endometriotic nodule with mucosal edema was found on the posterior bladder wall, alongside a 3 cm right ovarian endometriotic cyst. After pelvic adhesiolysis, the authors performed laparoscopic excision of the bladder and ovarian lesions, specifically resecting the bladder endometriotic lesion while preserving the bladder mucosa; postoperative recovery was uneventful and the patient received deinogest for 1 year with no urinary tract symptoms. The paper’s limitation is that it is a single case, so findings cannot establish general effectiveness or comparative outcomes. This paper is centrally about endometriosis — specifically laparoscopic resection of bladder endometriosis with preservation of bladder mucosa and subsequent symptom outcome.

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Abstract

Objective: Report of successful treatment of bladder endometriosis with laparoscopic extramucosal resection.Case report: A 28-year-old woman presented with dysmenorrhea and mild urodynia. An 11 mm endometriotic nodule, blue in color with mucosal edema, was noted on the posterior wall of the bladder. There also was a 3 cm endometriotic cyst in the right ovary. Following pelvic adhesiolysis, laparoscopic excision of the lesions in the bladder wall and right ovary was performed. Resection of the bladder lesion was carried out preserving the bladder mucosa. The post-operative course was uneventful. Post-operatively, deinogest was administered for 1 year. The patient was in good health and had no urinary tract symptoms.Conclusion: Laparoscopic resection of a bladder endometriotic lesion with preservation of the bladder mucosa may be a method of choice to treat bladder endometriosis, as well as to reduce the side effects which might be caused by operative interventions.
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Abstract

Objective: Report of successful treatment of bladder endometriosis with laparoscopic extramucosal resection. Case report: A 28-year-old woman presented with dysmenorrhea and mild urodynia. An 11 mm endometriotic nodule, blue in color with mucosal edema, was noted on the posterior wall of the bladder. There also was a 3 cm endometriotic cyst in the right ovary. Following pelvic adhesiolysis, laparoscopic excision of the lesions in the bladder wall and right ovary was performed. Resection of the bladder lesion was carried out preserving the bladder mucosa. The post-operative course was uneventful. Post-operatively, deinogest was administered for 1 year. The patient was in good health and had no urinary tract symptoms.

Conclusion

Laparoscopic resection of a bladder endometriotic lesion with preservation of the bladder mucosa may be a method of choice to treat bladder endometriosis, as well as to reduce the side effects which might be caused by operative interventions. Case report: A 28-year-old woman presented with dysmenorrhea and mild urodynia. An 11 mm endometriotic nodule, blue in color with mucosal edema, was noted on the posterior wall of the bladder. There also was a 3 cm endometriotic cyst in the right ovary. Following pelvic adhesiolysis, laparoscopic excision of the lesions in the bladder wall and right ovary was performed. Resection of the bladder lesion was carried out preserving the bladder mucosa. The post-operative course was uneventful. Post-operatively, deinogest was administered for 1 year. The patient was in good health and had no urinary tract symptoms.

Conclusion

Laparoscopic resection of a bladder endometriotic lesion with preservation of the bladder mucosa may be a method of choice to treat bladder endometriosis, as well as to reduce the side effects which might be caused by operative interventions. © 2009 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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Condition tags

endometriosisbladder_endometriosisdysmenorrhea

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