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[Bladder endometriosis].

A Ojea Calvo1, B Rodríguez Iglesias, A Alonso Rodrigo

  • 1Servicio de Urología, Hospital Xeral de Vigo.

Actas Urologicas Espanolas
|November 1, 1992
PubMed
Summary

Vesical endometriosis, a rare condition where uterine lining grows in the bladder, was diagnosed in a 35-year-old woman. Adjuvant therapy with Gestrima following endoscopic surgery led to a complete objective response.

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Area of Science:

  • Gynecology
  • Urology
  • Pathology

Background:

  • Endometriosis is defined as the ectopic presence of endometrial tissue.
  • Vesical endometriosis, specifically, is an uncommon manifestation, accounting for only 1-2% of all endometriosis locations.
  • Diagnosis of vesical endometriosis is often challenging due to its rarity and varied presentation.

Observation:

  • A 35-year-old woman presented with symptoms suggestive of a bladder tumor.
  • Endoscopic examination revealed a solid tumor with characteristic bluish bullae or cysts within the vesical cavity.
  • These findings were consistent with vesical endometriosis.

Findings:

  • The patient was diagnosed with vesical endometriosis.
  • Endoscopic surgery was performed for the removal of the endometrial foci.

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  • Adjuvant treatment with Gestrima (2.5 mg twice weekly) was administered post-operatively.

    • Implications:

    • This case highlights the importance of considering endometriosis in the differential diagnosis of bladder lesions.
    • The successful use of Gestrima as an adjuvant therapy suggests a potential new treatment avenue for vesical endometriosis.
    • Further research is warranted to establish the efficacy and safety of Gestrima in managing this rare condition.