Vesical endometriosis
Naeem Akhter1, Irum Sohail, Saadia Shah
1Department of Urology, Fauji Foundation Hospital, Rawalpindi.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 12, 2007
Summary
Vesical endometriosis, a rare condition involving the urinary bladder, presents with urinary symptoms and is diagnosed via cystoscopy and histology. This case highlights management challenges and treatment options for this uncommon condition.
Area of Science:
- Urology
- Gynecology
- Pathology
Background:
- Endometriosis rarely affects the urinary tract, with the bladder being the most common site.
- Clinical manifestations include urgency, frequency, hypogastric pain, and hematuria, often cyclical with menstruation.
- Definitive diagnosis relies on histological confirmation following cystoscopic examination.
Purpose of the Study:
- To report a rare case of vesical endometriosis in a young woman.
- To discuss diagnostic modalities and management strategies for bladder endometriosis.
- To highlight treatment challenges and alternatives in resource-limited settings.
Main Methods:
- A 21-year-old female presented with lower urinary tract symptoms and hematuria.
- Diagnostic imaging included ultrasonography and intravenous urography.
- Urethrocystoscopy with resection and histopathological examination confirmed vesical endometriosis.
Main Results:
- Histopathology confirmed vesical endometriosis.
- The patient refused Luteinizing hormone-releasing hormone (LHRH) therapy due to cost.
- Management involved Tab 17-aethinyl testosterone.
Conclusions:
- Vesical endometriosis is a rare but significant cause of lower urinary tract symptoms.
- Multidisciplinary diagnostic approaches are crucial for accurate diagnosis.
- Treatment requires individualized strategies, considering patient factors and resource availability.
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