Deep endometriosis inflicting the bladder: long-term outcomes of surgical management

Ron Schonman, Zohar Dotan, Adi Y Weintraub, Guy Bibi, Vered H Eisenberg, Daniel S Seidman, Mordechai Goldenberg, David Soriano
Archives of gynecology and obstetrics · 2013 · vol. 288(6) , pp. 1323–1328 · doi:10.1007/s00404-013-2917-6 · PMID:23778640 · W1983868500
article OA: closed CC0 ⤵ 18 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Laparoscopic treatment of bladder endometriosis, including partial cystectomy for full thickness lesions, resulted in asymptomatic or improved symptoms for 92.7% of patients after a median 60-month follow-up.

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

This retrospective study assessed the efficacy and safety of laparoscopic surgery for bladder endometriosis, focusing particularly on deep, full-thickness detrusor involvement, using medical record data from 69 patients treated at a tertiary referral center between 2005 and 2011. All patients underwent laparoscopy; deep detrusor involvement was found in 65.2%, with partial cystectomy for full-thickness lesions in 21 patients and resection or coagulation/ablation for superficial or non-invading nodules in the remaining patients. Over a median follow-up of 60 months (range 4–92), 92.7% of patients were asymptomatic or reported improved urinary symptoms, and no intraoperative complications were reported. The main limitation explicitly reflected in the design is that outcomes come from a retrospective chart review without a non-surgical comparator, and follow-up duration varied. This paper is centrally about endometriosis — it reports long-term outcomes of laparoscopic management specifically for deep bladder endometriosis, including detrusor invasion and full-thickness nodules, which directly relates to endometriosis (and by extension the deep infiltrating phenotype sometimes discussed alongside adenomyosis).

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Condition tags

dyspareuniaendometriosis

MeSH descriptors

Endometriosis Laparoscopy Urinary Bladder Diseases Adult Aged Cystectomy Cystectomy Dyspareunia Dyspareunia Dysuria Dysuria Endometriosis Endometriosis Female Follow-Up Studies Humans Laparoscopy Middle Aged Retrospective Studies Treatment Outcome

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