Related Experiment Video
Updated: Oct 16, 2025
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Stepwise approach to the laparoscopic excision of bladder endometriosis
Dong Bach Nguyen1, Kristina Arendas2, Caitlin A Jago2
1Department of Obstetrics and Gynecology, McGill University Health Centre, Royal Victoria Hospital, Glen Campus, Montreal, Quebec; Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital & University of Ottawa, Ottawa, Ontario; Faculty of Medicine, University of Ottawa, Ottawa, Ontario.
Objective:
To describe a stepwise approach to the laparoscopic excision of bladder endometriosis.
Design:
Narrated surgical video.
Setting:
Academic tertiary care hospital.
Patient(S):
Surgical footage was obtained from three patients who underwent surgery for bladder endometriosis. Institutional review board approval was not required in accordance with the Tri-Council Policy Statement of Canada, article 2.5.
Intervention(S):
Laparoscopic excision of bladder endometriotic nodules by partial cystectomy.
Main Outcome Measure(S):
Overview of the relevant anatomy, disease overview, surgical planning and perioperative care, and the approach to the excision of bladder endometriotic nodules.
Result(S):
The approach to excision of bladder endometriotic nodules can be standardized in six reproducible steps: cystoscopy with or without ureteral stent placement; abdominal survey and treatment of posterior compartment disease; bladder mobilization; partial bladder cystectomy under cystoscopic guidance; cystotomy closure; and water-leak test.
Conclusion(S):
The safe and complete excision of bladder endometriosis relies on the understanding of surgical anatomy, the multidisciplinary aspect of patient care, and the standardization of the surgical approach.
