Keep Your Bladder Small: Micturition Dysfunction in Deep Pelvic Endometriosis

in reduced urinary frequency over time. This gradu- ally increases bladder capacity, with secondary impairment of bladder elasticity and contractility (myogenic damage). Resulting postvoid residual volumes increase over time and subsequently deteriorate bladder contractility even more. These symptoms can appear up to 7 years after DIE surgery [3]. Follow up of patients after DIE surgery should not focus only on disease recurrence but also on voiding function. Physicians should pay attention to reduced urinary fre - quency and weak urinary stream. Post-void residual urine should be controlled regularly. In case of higher post-void values, intermittent self-catheterization must be started early enough, before bladder myogenic damage becomes irreversible. As awareness of endometriosis grows, so must recogni- tion of its impact on urinary tract (dys)function. Recognizing micturition problems as part of a comprehensive endometri- osis care strategy is vital for improving patient outcomes. By emphasizing early diagnosis, recognizing de novo postopera- tive micturition dysfunction, multidisciplinary approach, and targeted therapies, we can ensure the improvement of quality of life in women with DIE. * Rok Šumak [email protected] 1 Department of General Gynecology and Gynecological Urology, Clinic for Gynecology and Perinatology, University Medical Centre Maribor, Maribor, Slovenia 732 International Urogynecology Journal (2025) 36:731–732

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