Cystoscopy-assisted laparoscopic resection of extramucosal bladder endometriosis

Renato Seracchioli, Mannini D, Daniele Mannini, D Mannini, Colombo FM, Filippo Maria Colombo, Vianello F, Federico Vianello, Reggiani A, Alberto Reggiani, Stefano Venturoli, Venturoli S
Journal of endourology · 2002 · vol. 16(9) , pp. 663–666 · doi:10.1089/089277902761403014 · PMID:12490020 · W1980089636
Case report OA: closed CC0 ⤵ 35 in-corpus citations
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This paper describes a minimally invasive laparoscopic resection of bladder endometriosis using a cystoscopy-assisted "light-to-light" technique to preserve bladder mucosal integrity.

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Abstract

BACKGROUND AND PURPOSE: Involvement of the bladder is seen in only 1% to 2% of patients with endometriosis. The diagnosis of vesical endometriosis is difficult to formulate, and it should be confirmed by cystoscopy with biopsy. However, this examination is often insufficient because of the submucosal-transmural location of the lesion. Therefore, laparoscopic examination represents the gold standard for the diagnosis of pelvic endometriosis. We describe a case of recurrent bladder endometriosis treated by a combined endoscopy technique. CASE REPORT: A 43-year-old woman presented with pelvic pain, dysmenorrhea, and persistent cystitis. The endometriotic lesion on the posterior wall of the bladder consisted in a 2.5-cm nodule growing into the vesical muscularis and raising the overlying peritoneum. We performed laparoscopic resection employing a cystoscopy-assisted technique in order to preserve the integrity of the vesical mucosa. Resection was carried out and monitored from inside the bladder with the cystoscope and laparoscope lights turned on during the whole procedure ("light-to-light" technique). CONCLUSION: This minimally invasive combined endoscopic procedure could represent a good alternative to partial cystectomy for muscle-infiltrating bladder endometriosis that does not involve the vesical mucosa.

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Condition tags

endometriosischronic_pelvic_painbladder_endometriosisdysmenorrhea

MeSH descriptors

Cystoscopy Endometriosis Endometriosis Laparoscopy Urinary Bladder Diseases Urinary Bladder Diseases Adult Adult Biopsy, Needle Biopsy, Needle Combined Modality Therapy Combined Modality Therapy Cystoscopy Cystoscopy Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (17)

Cited by (32)

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License: CC0 · commercial use OK