Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis

OBJECTIVE: To report the successful management of bladder endometriosis with laparoscopic and transurethral partial cystectomy. DESIGN: Case report. SETTING: Tertiary-care university hospital. PATIENT(S): A 36-year-old woman with bladder endometriosis. INTERVENTION(S): Combined laparoscopic and transurethral excision of endometriotic lesions and bladder repair. MAIN OUTCOME MEASURE(S): Symptoms remission. RESULT(S): A hypoestrogenic agent with gonadotropin-releasing hormone (GnRH) agonist was administered for 6 months after the surgery. The patient found to be in good health with normal voiding and full continence during 14 months of regular follow-up evaluations. CONCLUSION(S): Combined laparoscopy and transurethral resectoscopy can be an alternative treatment to traditional laparotomy in women with bladder endometriosis, especially in those who have simultaneous pelvic endometriosis.