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Related Concept Videos

Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Microbiota of the Urogenital Tract01:28

Microbiota of the Urogenital Tract

The human urogenital system, once thought to be sterile in healthy individuals, is now recognized as a complex microbial habitat. Advancements in molecular sequencing techniques have revealed that even in healthy adults, the kidneys and bladder harbor microbial populations similar to those found in the distal urethra, albeit in much lower abundance. These resident microorganisms, while generally innocuous, can become opportunistic pathogens under conditions that alter the urogenital...
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Oogenesis02:07

Oogenesis

In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...

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Induction of Invasive Transitional Cell Bladder Carcinoma in Immune Intact Human MUC1 Transgenic Mice: A Model for Immunotherapy Development
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Mullerianosis involving the urinary bladder.

Kenneth Ogah1, Rachael Hartis, Paul Hilton

  • 1Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, Newcastle, UK. kennethogah@googlemail.com

International Urogynecology Journal
|May 28, 2011
PubMed
Summary

Mullerianosis, a rare condition involving endometrial-like tissue in the urinary bladder, was diagnosed in a woman with chronic pelvic pain and urinary symptoms. Surgical excision confirmed the diagnosis, highlighting the need for clinical awareness.

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Area of Science:

  • Gynecologic Pathology
  • Urologic Oncology
  • Medical Case Reports

Background:

  • Mullerianosis is a rare benign condition characterized by the presence of endometrial, endocervical, and/or endosalpingeal tissues outside the female reproductive tract.
  • While mullerianosis can occur in various locations, its involvement of the urinary bladder is exceptionally uncommon.

Observation:

  • A 45-year-old woman presented with chronic pelvic pain, dysmenorrhea, irritative lower urinary tract symptoms, and cyclical hematuria.
  • Cystoscopy and transurethral biopsy indicated mullerianosis affecting the posterior bladder wall.
  • Surgical intervention, including partial cystectomy, was performed for complete lesion excision.

Findings:

  • Histopathological examination of the excised bladder mass confirmed the presence of endometrial, endocervical, and endosalpingeal tissues.
  • The diagnosis of mullerianosis involving the urinary bladder was definitively established.
  • The patient experienced a satisfactory postoperative recovery.

Implications:

  • This case underscores the importance of considering rare diagnoses like bladder mullerianosis in patients presenting with complex pelvic and urinary symptoms.
  • Increased awareness among clinicians is crucial for accurate diagnosis and timely, appropriate management of this unusual condition.
  • Further research may elucidate the pathogenesis and optimal treatment strategies for urinary bladder mullerianosis.