title: Successful pregnancy in a case of bladder and ovary endometriosis following cystoscopy-assisted laparoscopic resection.
abstract: A 34-year-old, gravida 0 para 0 Japanese woman visited a regional hospital complaining of dysmenorrhea, hematuria during menstruation, and right inguinal pain. She had a history of dysmenorrhea and three prior rounds of in vitro fertilization with embryo transfer, which were all with transfers of cryopreserved-thawed single embryos in natural cycles, resulting in no pregnancy. An ultrasound revealed a large 2 × 1-cm nodule between the bladder and the anterior wall of the uterus and a 3-cm cystic lesion in the right adnexal area. A combined cystoscopic and laparoscopic resection of the bladder endometriosis and cystectomy of the right endometrioma were carried out. A single ultrasound-guided transfer of a cryopreserved-thawed embryo in the cleavage stage was performed 4 months postoperatively, which resulted in an uncomplicated pregnancy. The combined, single procedure was minimally invasive and eradicated the lesions that may have caused the infertility.
authors.affiliation: Departments of Obstetrics and Gynecology.
authors.forename: Fumihisa
authors.initials: F
authors.lastname: Chishima
authors.forename: Go
authors.initials: G
authors.lastname: Ichikawa
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Sato
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Ishige
authors.forename: Masahiko
authors.initials: M
authors.lastname: Sugitani
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Yamamoto
mesh_terms: D000328:Adult; D003558:Cystoscopy; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000601:surgery*; D011247:Pregnancy; D001745:Urinary Bladder Diseases / Q000601:surgery*
keywords: bladder endometriosis; cystoscopy-assisted laparoscopic resection; pregnancy