Adenomyosis invades bladder-A case report

In: Trends in Medicine · 2017 · vol. 17(1) · doi:10.15761/tim.1000115 · W2795876356
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Abstract

Bladder endometriosis secondary to an adenomyosis is a rare variety of deep endometriosis with nonspecific symptoms such as dysuria, frequency, urgency, hematuria and bladder pain. We report a case of a 38-year-old woman with gravida 1, parity 1 presented to the department of urology at a polyclinic hospital for dysuria during her menstruation. Due to the diagnosis of bladder endometriosis she was treated with laparoscopic partial cystectomy and ureteral reimplantation and GnRH agonist 3.75 mg each 4 weeks. After 4 months of GnRH agonist regimen, the patient suffered from severe menopausal disorders so she consulted with a gynecologist. The pelvic examination, ultrasound scan, and MRI (Magnetic Resonance Imaging) revealed an adenomyosis, a progestogen releasing intrauterine device (LNGIUD) was inserted. Management of bladder endometriosis may be required both surgical and medical treatment, so the patient should be treated at a referral hospital where cooperation between urologist and gynecologist is available.

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Condition tags

endometriosisadenomyosisbladder_endometriosis

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