Endometriosis vesical: Revisión de la literatura, con especial referencia a la española y aportación de dos nuevos casos
This review and case report explores bladder endometriosis, finding it a rare condition diagnosed via imaging and biopsy, treatable surgically and/or hormonally, and to be considered in women with menstrual-related urinary symptoms.
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This paper reviews the etiopathogenic hypotheses and clinical presentation, diagnosis, and treatment of bladder endometriosis, compiling published cases from Spanish authors and reporting two additional cases. Across the two women (ages 34 and 31), diagnosis was pursued using imaging (ultrasound, CT, and/or MRI) followed by cystoscopy and histopathology, which confirmed intramuscular endometrial gland/stroma without malignancy; treatment involved transurethral resection (RTU) with one patient additionally receiving LH-RH analogs, and both reported being asymptomatic with no evidence of recurrence at 5 and 9 years, respectively. The authors emphasize that bladder endometriosis is rare and imaging is not conclusive, making cystoscopy and biopsy the key diagnostic confirmation, with the main limitation being the reliance on case-based evidence rather than a controlled study design. This paper is centrally about endometriosis — specifically bladder (vesical) endometriosis, including diagnosis and surgical vs hormonal management.
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