Abstract

  Endometriosis is a disease with causes still unclear, affecting approximately 15% of women of reproductive age. According to direct implantation theory, the endometrial or decidual tissues start to grow in susceptible individuals when implanted at new sites. 1-2% of women with endometriosis have involvement of the urinary tract, most frequency the bladder which is observed in up to 85% of the cases. The most effective treatment is partial cystectomy, especially via video laparoscopy. We report a case in which a patient presented with symptoms suggestive of bladder endometriosis secondary to cesarean section. It was completely excised through laparoscopy and the patient had complete resolution of symptoms and improved quality of life.

Keywords: Laparoscopy; Bladder; Urology; Endometriosis

References

1. Knabben L., et al. “Urinary tract endometriosis in patients with deep infiltrating endometriosis: prevalence, symptoms, management, and proposal for a new clinical classification”. Fertility and Sterility 103 (2015): 147-152.
2. Koninckx PR., et al. “Deep endometriosis: definition, diagnosis, and treatment”. Fertility and Sterility 98 (2012): 564-571.
3. Taff L and Jones S. “Cesarean scar endometriosis. A report of two cases”. The Journal of Reproductive Medicine 47.1 (2002): 50-52.
4. Aldridge KW, Burns JR, Singh B. Vesical endometriosis: a review and 2 case reports”. Journal of Urology 134.3 (1985): 539-541.
5. Shook TE and Nyberg LM. “Endometriosis of the urinary tract”. Urology 31.1 (1988): 1-6.
6. Sircus SI., et al. “Bladder detrusor endometriosis mimicking interstitial cystitis”. Urology 32.5 (1988): 339-342.
7. Guerriero S., et al. “Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group”. Ultrasound in Obstetrics and Gynecology 48.3 (2016): 318-332.
8. Ballyguier C., et al. “Comparison of magnetic resonance imaging and transvaginal ultrasonography in diagnosing bladder endometriosis”. Journal of the American Association of Gynecologic Laparoscopy 9.1 (2002): 15-23.
9. Vercellini P., et al. “Bladder detrusor endometriosis: clinical and pathogenetic implications”. Journal of Urology 155.1 (1996): 84-86.
10. Koninckx PR and Martin DC. “Surgical treatment of deeply infiltrating endometriosis”. In: Shaw RW (ed.) Endometriosis. Current Understanding and Management. Oxford, Blackwell Scientific (1995): 264-281. 
11. Wingfield M and Healy DL. “Endometriosis: medical therapy”. Baillière's Clinical Obstetrics and Gynaecology 7.4 (1993): 813-838.
12. Garry R. “Endometrial ablation and resection: validation of a new surgical concept”. British Journal of Obstetrics and Gynaecology 104 (1997): 1329-1331.
13. Chapron C and Dubuisson JB. “Laparoscopic management of bladder endometriosis”. Acta Obstetricia et Gynecologica Scandinavica 78 (1999): 887-890.
14. Nezhat CH., et al. “Laparoscopic management of 15 patients with infiltrating endometriosis of the bladder and a case of primary intravesical endometrioid adenosarcoma”. Fertility and Sterility 78 (2002): 872-875.

Citation

Citation: Rathod K., et al. “Intramural Bladder Endometriosis Secondary to Cesarean Section”. Acta Scientific Women's Health 2.2 (2020): 58-61.

Copyright

Copyright: © 2020 Rathod K., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.