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Bladder endometriosis: conservative management.

O L Westney1, C L Amundsen, E J McGuire

  • 1Division of Urology, University of Texas Health Science Center-Houston, Houston, Texas, USA.

The Journal of Urology
|May 8, 2000
PubMed
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Hormonal therapy effectively treats bladder endometriosis, a condition often mistaken for interstitial cystitis. This approach significantly improves symptoms like urgency and frequency in most women, preserving fertility.

Area of Science:

  • Gynecologic Oncology
  • Urology

Background:

  • Bladder endometriosis presents with symptoms mimicking interstitial cystitis, leading to diagnostic challenges.
  • Endometriosis affecting the bladder requires careful evaluation due to overlapping clinical presentations.

Purpose of the Study:

  • To evaluate the characteristics of women with bladder endometriosis who were successfully treated with hormonal therapy.
  • To identify key symptoms and patient profiles associated with bladder endometriosis.

Main Methods:

  • Retrospective review of 14 patients diagnosed with bladder endometriosis via cystoscopy.
  • Analysis of presenting complaints, cystoscopic findings, and response to hormonal treatment.

Main Results:

  • The most common symptoms included urgency (78%), frequency (71%), and suprapubic pain (43%).

Related Experiment Videos

  • Hormonal therapy (oral contraceptives, estrogen modification, or progesterone) led to sustained symptom improvement in 92% of patients.
  • Bladder endometriosis symptoms often overlap with interstitial cystitis, with only 14% having a history of recurrent urinary tract infections.

    • Conclusions:

    • Bladder endometriosis should be considered in patients presenting with frequency, urgency, and pain without infection.
    • Hormonal therapy is a viable and effective treatment for bladder endometriosis, offering fertility preservation.
    • Early consideration of endometriosis in women with lower urinary tract symptoms can improve diagnosis and management.