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Urinary bladder endometriosis: a report of two cases
1Department of Surgery, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|July 1, 1996
Summary
Urinary bladder endometriosis is rare, especially in postmenopausal women without estrogen. Treatment for these two cases, including danazole and partial cystectomy, led to symptom improvement.
Area of Science:
- Gynecologic Oncology
- Urologic Oncology
Background:
- Endometriosis, a condition where endometrial-like tissue grows outside the uterus, uncommonly affects the urinary tract.
- The urinary bladder is the most frequent site of urinary tract endometriosis.
Observation:
- Two cases of urinary bladder endometriosis are presented: a 39-year-old premenopausal woman with dysuria during menstruation and a 37-year-old postmenopausal woman (due to bilateral salpingo-oophorectomy) with intermittent gross hematuria.
- Pre-operative evaluations included ultrasonography, computed tomography, and cystoscopic biopsy.
Findings:
- Urinary bladder endometriosis is rare in postmenopausal women not receiving exogenous estrogen.
- Case 1, premenopausal, received danazole treatment post-transurethral resection.
- Case 2, postmenopausal, underwent partial cystectomy post-transurethral resection.
Implications:
- These cases highlight the importance of considering urinary bladder endometriosis in women with relevant symptoms, even in postmenopausal states.
- Successful management involved surgical intervention and/or medical therapy, leading to symptom resolution.
- Further research is warranted to understand the pathophysiology and optimal management strategies for this rare condition.