Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis
See-Tong Pang1, Angel Chao, Chin-Jung Wang
1Department of Surgery, Division of Urology, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung University College of Medicine, Tao-Yuan, Taiwan.
Objective:
To report the successful management of bladder endometriosis with laparoscopic and transurethral partial cystectomy.
Design:
Case report.
Setting:
Tertiary-care university hospital.
Patient(S):
A 36-year-old woman with bladder endometriosis.
Intervention(S):
Combined laparoscopic and transurethral excision of endometriotic lesions and bladder repair.
Main Outcome Measure(S):
Symptoms remission.
Result(S):
A hypoestrogenic agent with gonadotropin-releasing hormone (GnRH) agonist was administered for 6 months after the surgery. The patient found to be in good health with normal voiding and full continence during 14 months of regular follow-up evaluations.
Conclusion(S):
Combined laparoscopy and transurethral resectoscopy can be an alternative treatment to traditional laparotomy in women with bladder endometriosis, especially in those who have simultaneous pelvic endometriosis.
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