Endometriosis vesical

This “Images in Urology” report describes a 33-year-old woman referred for suspected bladder endometriosis, with a prior diagnosis of tubal endometriosis. She had mild urinary symptoms coinciding with menstruation but no hematuria; bladder imaging showed an exophytic bladder lesion and urine cytology was negative for tumor cells. Cystoscopy under anesthesia revealed mucosal protusion consistent with a probable bladder endometrioma, and resection released “chocolate-like” contents, with histology confirming bladder endometriosis. This paper is centrally about endometriosis — it specifically documents endometriosis of the bladder (vesical endometriosis) presenting with cyclic urinary symptoms.

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