Endometriosis vesical: Revisión de la literatura, con especial referencia a la española y aportación de dos nuevos casos

review OA: hybrid CC0 ⤵ 3 in-corpus citations
AI-generated summary by claude@2026-06, 2026-06-08

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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AI-generated deep summary by claude@2026-06, 2026-06-09

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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Abstract

OBJECTIVES: To study and review the etiopathogenic hypothesis for endometriosis and the clinical features, diagnosis and treatment of bladder endometriosis. METHODS/RESULTS: We report two cases and review the international bibliography, collecting the cases published by Spanish authors. CONCLUSIONS: Bladder endometriosis is a rare pathological entity, but its diagnosis should be considered in fertile women with urinary tract symptoms during menstruation. Diagnosis is obtained by various imaging tests (ultrasound, CT scan, MRI), and is confirmed with cystoscopy and biopsy. The treatment may be surgical (TUR, partial cystectomy) and/or medical (hormonal).

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Condition tags

endometriosisbladder_endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Urinary Bladder Diseases Urinary Bladder Diseases Urinary Bladder Diseases Adult Female Humans Spain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (60)

Cited by (3)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:15:18.313808+00:00
License: CC0 · commercial use OK