A surgical case involving bladder endometriosis.

Area of Science:

• Gynecologic Surgery
• Urologic Surgery
• Minimally Invasive Procedures

Background:

• Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus.
• Urinary tract endometriosis is a rare manifestation, affecting approximately 1% of endometriosis patients.
• Surgical management of bladder endometriosis requires specialized expertise due to potential complications.

Observation:

• A 4-cm endometriotic nodule obliterating the uterovesical pouch and invading the bladder was identified.
• A combined laparoscopic and transurethral surgical approach was employed for nodule excision and partial cystectomy.
• The surgical procedure involved a multidisciplinary team of gynecologic laparoscopic surgeons and a urologist.

Findings:

• The surgery demonstrated the technical challenges posed by densely adherent endometriotic nodules.
• A successful excision of the bladder endometriotic nodule was achieved.
• The case highlights the necessity of a collaborative, multidisciplinary approach for complex endometriosis cases.

Implications:

• This case underscores the importance of a multidisciplinary approach in managing rare urinary tract endometriosis.
• The video serves as an educational tool for surgeons dealing with complex pelvic endometriosis.
• Effective surgical strategies are crucial for improving patient outcomes in challenging endometriosis cases.