Acta Scientific Women's Health (ISSN: 2582-3205)

Case Report Volume 2 Issue 2

Intramural Bladder Endometriosis Secondary to Cesarean Section

Rathod K1*, Jakes A1, Taylor C3, Holland T2 and Kunde K2

1Senior Clinical Fellow, Guys and St Thomas Hospital, London, United Kingdom
2Consultant Urologist, Guys and St Thomas Hospital, London, United Kingdom
3Consultant Gynecologist, Guys and St Thomas Hospital, London, United Kingdom

*Corresponding Author: Rathod K, Senior Clinical Fellow, Guys and St Thomas Hospital, London, United Kingdom.

Received: January 14, 2020; Published: January 22, 2020



  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



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


Acceptance rate35%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US