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[Bladder endometriosis simulating a bladder tumor].

E López Martí1, J Prats López, A Prera Vilaseca

  • 1Hospital de Sabadell (Consorcio Hospitalario del Parc Tauli), Sabadell, Barcelona, España.

Archivos Espanoles De Urologia
|March 1, 1992
PubMed
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Vesical endometriosis, or endometrial tissue in the bladder, can cause urinary incontinence. This case highlights a rare presentation of bladder endometriosis, confirmed via TUR.

Area of Science:

  • Gynecology
  • Urology
  • Pathology

Background:

  • Endometriosis is the presence of endometrial tissue outside the uterus, commonly affecting women of reproductive age.
  • Vesical endometriosis involves endometrial tissue colonization of the urinary bladder, a known but less common site.
  • Typical symptoms include urinary urgency, frequency, pelvic pain, and hematuria.

Observation:

  • This report details a case of vesical endometriosis presenting atypically with urinary urgency and incontinence.
  • Urological examination revealed a solid mass within the bladder.
  • Cystoscopy indicated submucosal endometrial tissue formation.

Findings:

  • Transurethral resection (TUR) confirmed the diagnosis of vesical endometriosis.
  • The case demonstrates a rare clinical manifestation of bladder endometriosis.

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Implications:

  • Awareness of atypical presentations like urinary incontinence is crucial for diagnosing vesical endometriosis.
  • This case underscores the importance of thorough urological workup for suspected bladder endometriosis.
  • Early and accurate diagnosis through cystoscopy and biopsy aids in appropriate management.