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Related Experiment Videos

Bladder detrusor endometriosis: clinical and pathogenetic implications

P Vercellini1, M Meschia, O De Giorgi

  • 1Clinica Ostetrica e Ginecologica Luigi Mangiagalli, University of Milano, Italy.

The Journal of Urology
|January 1, 1996
PubMed
Summary

Vesical endometriosis, or bladder endometriosis, can present spontaneously or after C-section. Catamenial bladder symptoms are key diagnostic signs, and partial cystectomy offers a successful treatment.

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Area of Science:

  • Gynecologic pathology
  • Urologic oncology

Background:

  • Vesical endometriosis involves ectopic endometrial tissue in the bladder wall.
  • It can manifest spontaneously or secondary to iatrogenic factors like cesarean delivery.

Purpose of the Study:

  • To investigate the pathogenesis of vesical endometriosis.
  • To identify diagnostic indicators.
  • To define effective management strategies.

Main Methods:

  • Retrospective review of 8 patients diagnosed with bladder detrusor endometriosis.
  • Clinical presentation, diagnostic imaging, and surgical outcomes were analyzed.

Main Results:

  • Two forms identified: spontaneous (associated with generalized pelvic endometriosis) and post-cesarean (ectopic tissue typically confined to the bladder wall).

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  • Catamenial bladder symptoms (frequency, urgency, dysuria, tenesmus) were pathognomonic.
  • Cystoscopy with biopsy confirmed diagnosis in 3 cases. Ultrasonography identified intraluminal vegetation, differentiating from uterine leiomyoma. MRI provided limited additional value.
  • Partial cystectomy resulted in resolution of urinary symptoms.

    • Conclusions:

    • A high index of suspicion for vesical endometriosis is warranted in premenopausal women with cyclic bladder symptoms and negative urine cultures.
    • Early diagnosis and surgical intervention, such as partial cystectomy, can effectively manage this condition.