Vesical Endometriosis in Detrussor Muscles without Typical Presentation: Report of Two Cases

Shih‐Chieh Chueh, Ho‐Hsiung Lin, Ming‐Shyen Yen, Ming‐Kuen Lai
In: 中華民國泌尿科醫學會雜誌 · 1996 · vol. 7(1) , pp. 34–38 · doi:10.7024/juaroc.199603.0034 · W2270412965
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Two cases of vesical endometriosis involving detrusor muscles lacked typical symptoms and were identified via ultrasonography, with partial cystectomy leading to full recovery and no recurrence at three-month follow-up.

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This case report describes two patients with vesical endometriosis involving the detrusor muscles who did not present with typical cyclical urinary symptoms such as hematuria or dysuria. Both lesions were identified incidentally via ultrasonography as broad-based masses protruding into the bladder lumen and contiguous to the uterus, leading to successful treatment through partial cystectomy. Post-operative follow-up confirmed no evidence of recurrence or residual tumor three months after surgery. This paper is centrally about endometriosis — specifically an atypical presentation of deep infiltrating endometriosis affecting the urinary bladder.

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Abstract

Endometriosis in the urinary tract is rare and, if present, it often involves the urinary bladder. Vesical endometriosis is usually manifested with periodic hematuria, micturition pain and urgency- frequency associated with menses. Herein two cases are presented as isolated vesical endometrioma involving detrussor muscles; neither exhibited classical symptoms and both were identified via ultrasonography as a broad-base mass protruding into the bladder lumen and contiguous to the uterine body. Partial cystectomy was performed and the patients recovered well. Cystoscopy follow-up three months later showed no evidence of recurrence or residual tumor.
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- 期刊 Endometriosis in the urinary tract is rare and, if present, it often involves the urinary bladder. Vesical endometriosis is usually manifested with periodic hematuria, micturition pain and urgency- frequency associated with menses. Herein two cases are presented as isolated vesical endometrioma involving detrussor muscles; neither exhibited classical symptoms and both were identified via ultrasonography as a broad-base mass protruding into the bladder lumen and contiguous to the uterine body. Partial cystectomy was performed and the patients recovered well. Cystoscopy follow-up three months later showed no evidence of recurrence or residual tumor.

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endometriosisendometriomabladder_endometriosis

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