Bladder endometriosis: possibility of treatment by laparoscopy.
OBJECTIVE
Genital endometriosis is still an unclear enigma of the female. It occurs in approximately 20% to 35% of all women of reproductive age. The urinary tract is seldom affected.


METHODS
We report on a patient with bladder endometriosis with recurrent heavy pain at menstruation within the framework of 5 similar cases.


RESULTS
A combined vaginal and laparoscopic treatment with excision of the lesion reaching into the dome of the bladder and vaginal wall was performed. The bladder opening was sutured in 2 layers.


CONCLUSIONS
Laparoscopic treatment of bladder endometriosis requires a combined surgical treatment by a gynecologist and urologist or an experienced laparoscopist.
Mettler
Liselotte
L
Department of Obstetrics and Gynaecology, University Hospitals Schleswig-Holstein, Campus Kiel, Germany. endo-office@email.uni-kiel.de
Gaikwad
Vidya
V
Riebe
Bastian
B
Schollmeyer
Thoralf
T
D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D001745:Urinary Bladder Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures