Introduction and Objectives
Endometriosis affecting the urinary tract is very rare and the most common site of involvement is urinary bladder with an incidence that is generally considered about 1%. The common clinical manifestations of bladder endometriosis include dysmenorrhea, dyspareunia, and urethral and pelvic pain syndrome occurring cyclically. Cystoscopy is the most useful diagnostic test with confirmation by histologic study. The aim of this study is to evaluate the best therapeutic strategy for the treatment of the bladder endometriosis.
Material and Methods
From May 2003 to December 2008, 9 women of reproductive age (mean age 34.6 years) were diagnosed suffering from bladder endometriosis, treated with transurethral resection (4/9) with hormonal therapy (2/9) and laparoscopic partial bladder cystectomy (3/9).
All patients affected by bladder endometriosis, whichever treatment performed, have showed improvement about symptoms and quality of life.
The best treatment for the bladder endometriosis is possible only if the therapeutic choice is done assessing anamnesis, the age of the patient„ localization and extension of the endometriosis in bladder, the severity of the symptoms, desire for future pregnancies.
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.