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Updated: Jul 5, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Bladder endometriosis: possibility of treatment by laparoscopy
Liselotte Mettler1, Vidya Gaikwad, Bastian Riebe
1Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany. endo-office@email.uni-kiel.de
Background And Objectives:
Genital endometriosis is still an unclear enigma of the female. It occurs in approximately 20% to 35% of all women of reproductive age. The urinary tract is seldom affected.
Methods:
We report on a patient with bladder endometriosis with recurrent heavy pain at menstruation within the framework of 5 similar cases.
Results:
A combined vaginal and laparoscopic treatment with excision of the lesion reaching into the dome of the bladder and vaginal wall was performed. The bladder opening was sutured in 2 layers.
Conclusion:
Laparoscopic treatment of bladder endometriosis requires a combined surgical treatment by a gynecologist and urologist or an experienced laparoscopist.
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