title: A surgical case involving bladder endometriosis.
abstract: OBJECTIVE
  The purpose is to demonstrate a surgical case of severe endometriosis involving a bladder endometriotic nodule.
  
  
  METHODS
  This patient has a large 4-cm endometriotic nodule which obliterates the uterovesical pouch and invades the bladder. A video recording was made of the surgery involving a combined laparoscopic and transurethral approach to excise the endometriotic nodule together with partial cystectomy of the bladder. The surgery was carried out by two gynaecological laparoscopic surgeons and a urologist.
  
  
  RESULTS
  This video is a good demonstration of the multidisciplinary approach that is required for such a complex case. The surgery itself is technically difficult as the nodule is densely adherent to both bladder and uterus. This video was presented at the 2011 International Urogynecological Association 36th Annual Meeting in Portugal.
  
  
  CONCLUSIONS
  Endometriosis involving the urinary tract is rare and only occurs in approximately 1% of all patients with endometriosis (Schneider et al., Int J Urol 13:902-904, 2006). Surgery often involves a multidisciplinary approach and the surgery itself is technically challenging. This video is a good example of such a case.
authors.affiliation: Royal Women's Hospital, Suite 2, Level 2, 20 Flemington Road, Parkville, Melbourne, VIC 3052, Australia. claudiacheng@drclaudiacheng.com.au
authors.forename: Claudia
authors.initials: C
authors.lastname: Cheng
authors.forename: Martin
authors.initials: M
authors.lastname: Healey
authors.forename: Anita
authors.initials: A
authors.lastname: Clarke
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D001745:Urinary Bladder Diseases / Q000601:surgery*