Vesical endometriosis following the menopause
Takahiro Maeda1, Yasumitsu Uchida, Fumio Nakajima
1Department of Urology, Keiyu Hospital, Yokohama, Japan. takahiro6025@yahoo.co.jp
Summary
This case study highlights a rare instance of bladder endometriosis in a 65-year-old postmenopausal woman, demonstrating that urinary tract endometriosis can occur even after menopause.
Area of Science:
- Gynecology
- Urology
- Pathology
Background:
- Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus.
- Urinary tract endometriosis is a rare manifestation, typically occurring in premenopausal women.
- This case involves a postmenopausal woman with no history of exogenous estrogen administration.
Observation:
- A 65-year-old postmenopausal woman presented with symptoms suggestive of vesical endometriosis.
- The patient had a history of abdominal hysterectomy 34 years prior.
- Hormone levels were consistent with a castrated state.
Findings:
- Diagnosis of vesical endometriosis was confirmed.
- The patient underwent transurethral resection for treatment.
- Subsequent hormonal therapy was administered.
Implications:
- This case underscores that vesical endometriosis can occur in postmenopausal women.
- It highlights the importance of considering endometriosis in the urinary tract, irrespective of menopausal status.
- Further research may be needed to understand the specific mechanisms in postmenopausal endometriosis.
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