Surgical Management of Urinary-Symptom-Dominant Endometriosis: Addressing Persistent Voiding Dysfunction and Pelvic Floor Factors

Zainab Yusufali Motiwala, Sidharth Misra, Ishika Sharma, Sneha Choudhari, Harshita Mahendra Yadav, Poojal Bafna
International urogynecology journal · 2025 · doi:10.1007/s00192-025-06488-1 · PMID:41432909 · W7116959598
article OA: closed CC0
Limited metadata. Only one source feed has indexed this record so far — no abstract, full text, or open-access copy is available through Endo Lab. The publisher's page (linked below) is the canonical location for the actual content. If you have institutional access, use "Find at my library".
View at publisher → View on OpenAlex View on PubMed
⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This narrative review found that while endometriosis surgery improves bladder storage symptoms, persistent voiding dysfunction can occur due to neural injury or pelvic floor issues, suggesting adjunct therapies may optimize recovery.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This structured narrative review examined surgical management for urinary-tract endometriosis, focusing on urinary outcomes, underlying mechanisms (including possible neural injury, fibrosis, and pelvic floor hypertonicity), and emerging adjunct therapies. Across 63 included studies, storage urinary symptoms improved after surgical approaches such as partial cystectomy, bladder shaving, and ureteral procedures, but up to 50% of patients still had persistent voiding dysfunction. The review notes that nerve-sparing techniques were associated with less dysfunction but did not eliminate it, and it highlights a limitation that advanced imaging risk stratification and prospective level evidence remain lacking. This paper is centrally about endometriosis — it reviews surgery for urinary-symptom–dominant urinary tract endometriosis and mechanisms of persistent postoperative voiding dysfunction, with implications for multidisciplinary management.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

My notes (saved in your browser only)

Condition tags

endometriosis

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.

References (76)

Source provenance

europepmc
last seen: 2026-06-04T01:30:01.192114+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-06-04T00:30:46.950704+00:00
License: CC0 · commercial use OK