Relationship between site and size of bladder endometriotic nodules and severity of dysuria.
OBJECTIVE
The purpose of this study was to evaluate the relationship between frequency/severity of dysuria with anatomic location and diameter of bladder endometriotic lesions.


METHODS
Retrospective analysis (Canadian Task Force classification II-3).


METHODS
Tertiary care university hospital.


METHODS
Forty-one patients with bladder endometriosis (endometrial glands and stroma microscopically diagnosed to infiltrate the muscularis propria).


METHODS
Laparoscopic partial cystectomy, preoperative scoring of dysuria using 10-point verbal analog scale (VAS).


RESULTS
Records of all patients with bladder endometriosis were assessed for frequency/severity of preoperative dysuria, anatomic location (base or dome), and diameter of bladder endometriotic nodule. Basal bladder lesions were observed in 18 (43.9%) of 41 patients versus 23 (56.1%) of 41 in the dome. Of the patients with basal lesions, 14 (77.8%) of 18 had preoperative dysuria versus 8 (34.8%) of 23 with dome lesions. Mean VAS score was 8.5 +/- 2.37 and 5.75 +/- 1.91 for base and dome lesions, respectively. Preoperative dysuria was found in 22 (53.7%) of 41 patients. Mean lesion diameter in patients with dysuria was 25.0 +/- 12.6 mm versus 16.3 +/- 6.8 mm in patients without dysuria.


CONCLUSIONS
Frequency and severity of preoperative dysuria were significantly higher in patients with basal endometriotic nodules. There was a positive correlation between severity of dysuria and lesion diameter.
Villa
Gioia
G
Center of Reconstructive Pelvic Endo-surgery, Reproductive Medicine Unit, S. Orsola Hospital, University of Bologna, Italy. gioiavilla75@yahoo.it
Mabrouk
Mohamed
M
Guerrini
Manuela
M
Mignemi
Giuseppe
G
Montanari
Giulia
G
Fabbri
Elena
E
Venturoli
Stefano
S
Seracchioli
Renato
R
D000328:Adult; D053159:Dysuria / Q000145:classification* / Q000209:etiology*; D004715:Endometriosis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D010147:Pain Measurement; D017699:Pelvic Pain / Q000145:classification; D012189:Retrospective Studies; D012720:Severity of Illness Index; D001743:Urinary Bladder / Q000473:pathology*