Case report and surgical video presentation: Combined laparoscopic and cystoscopic partial bladder cystectomy for excision of deeply infiltrating endometriosis

Pontré, Jennifer; Brown, Bernadette; Karthigasu, Krishnan; McElhinney, Bernadette

doi:10.1016/j.amsu.2018.09.038

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…It's a safe and a feasible option in experienced hands. Similar technique has been reported in a case report in Australia 2 and Brazil in a case series of 25 patients 3 where the average surgical time was 137 minutes, with no relapse over 32 months of average follow up. This is the first reported case in Sri Lanka of this method.…”

Section: Discussionsupporting

confidence: 69%

Resection of a large endometriotic nodule of the bladder using a combined laparoscopic and cystoscopic approach (“light to light technique”)

Silva

Gankanda

Sumanathissa

et al. 2021

Sri Lanka J Obstet & Gynae

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Bladder endometriosis is uncommon yet a cause of cyclical disabling urinary symptoms. Surgical excision of the bladder endometriotic nodule using combined cystoscopic and laparoscopic approach ("light to light technique") remains the best approach where surgery is deemed the mode of treatment. A 31-year-old infertile woman underwent resection of endometriosis of the bladder by this method. The main surgical steps included ureteric stenting, bladder mobilization, marking the endometriotic nodule cystoscopically, cystoscopic transillumination, completion of the bladder nodule excision laparoscopically and bladder repair.

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Section: Discussionsupporting

confidence: 69%

Resection of a large endometriotic nodule of the bladder using a combined laparoscopic and cystoscopic approach (“light to light technique”)

Silva

Gankanda

Sumanathissa

et al. 2021

Sri Lanka J Obstet & Gynae

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“…Endometrial tissue has been recorded in numerous surgery-related scars, as well as skin, subcutaneous tissues and abdominal wall muscle adjacent to the scars, which forms mass lesion referred to as AWE or scar endometriosis [ 13 , 14 ]. Differential diagnosis of an anterior abdominal wall mass in women of reproductive age usually includes scar endometriosis which is a rare occurrence resulting from pelvic surgical intervention, most commonly CS operations [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section

Hasan

Deyab

Monazea

et al. 2021

Annals of Medicine and Surgery

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Background Over the past few decades, the rate of Cesarean Section (CS) delivery has been rising rapidly and the prevalence of CS-associated complications including Abdominal Wall Endometriomas (AWE) increases with each additional operation. The aim of this study was to evaluate the clinical characteristics, histopathological diagnostic role and surgical management of post-CS AWE through a retrospective case review. Methods We calculated the incidence of AWE and reviewed all the patients underwent surgical removal of Post-CS AWE during the period of 2012–2018 who were diagnosed, treated and followed up for 2–8 years at our tertiary hospital. Results Thirty women with AWE were included. The main symptom in 2/3 of cases was cyclic pain and 4 cases (13.3%) had no symptoms. The mean interval between prior CS and appearance of symptoms was 55.2 months and the mean size of the excised mass was 42 mm. Free surgical margin was less than 9 mm in 9 patients (30%) but no recurrence was recorded among all the studied patients. Pre-operative FNAC diagnosis was performed for only 3 patients (10%) which helped in excluding other potential pathologies. The clinical–pathological agreement value for detection of the nature of the abdominal wall mass was 93.4%. Conclusions Patients with suspected AWE should undergo preoperative cytological biopsy to exclude alternative diagnosis. Wide surgical excision with margin of less than 1 cm could be accepted especially in case of weak abdominal wall. More studies on the post-CS complications; risks, prevention, early detection and proper management should be encouraged.

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“…Because laparoscopic resection requires an increased level of training and skills, it would be better to consult a surgeon trained in advanced laparoscopic techniques 12 . Recently, a simultaneous laparoscopic and cystoscopic approach has been reported to be helpful to remove endometriotic lesions completely, and avoid unnecessary normal bladder wall excisions 8,12,25–27 . These surgical procedures may reduce the risk of recurrence even in laparoscopic PC.…”

Section: Discussionmentioning

confidence: 99%

National survey of bladder endometriosis cases in Japan

Hirata

Koga

Taniguchi

et al. 2021

J of Obstet and Gynaecol

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Aim We aimed to describe the clinical presentation, operative or medical management, and postoperative recurrence of bladder endometriosis (BE). Methods We conducted a national survey to investigate BE cases from 2006 to 2016 in Japan. Histologically diagnosed cases were extracted and then investigated for the following factors: age at diagnosis, body mass index, symptoms, imaging modalities, surgical therapy, hormonal therapy, follow‐up period, and postoperative recurrence. Results Eighty‐nine patients with pathologically benign BE were identified. Eighty patients underwent surgery, whereas nine did not. Moreover, 34 and 44 patients underwent transurethral resection (TUR) and partial cystectomy (PC), respectively. Cumulative recurrence rates were significantly higher with TUR than with PC (p < 0.05). The recurrence rate tended to be higher after laparoscopic PC (n = 24) than after open PC (n = 20), but the difference was not statistically significant (p = 0.0879). Of the nine nonsurgical patients, eight received hormonal therapy and one did not. Efficacy rates of dienogest, GnRH agonist, and OC were 85.7%, 66.7%, and 66.7%, respectively. Of five patients with BE extending to the ureter or ureteral orifices, two underwent PC and ureteroneocystostomy and one underwent total nephroureterectomy due to renal function loss. Conclusion To our knowledge, this is the first study to compare the postoperative recurrence of BE after TUR and PC. We found that cumulative recurrence rate is significantly lower after PC than after TUR. BE extending to the ureter or ureteral orifices is a very challenging condition. Further studies are required for the optimal management of BE.

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Case report and surgical video presentation: Combined laparoscopic and cystoscopic partial bladder cystectomy for excision of deeply infiltrating endometriosis

Cited by 4 publications

References 9 publications

Resection of a large endometriotic nodule of the bladder using a combined laparoscopic and cystoscopic approach (“light to light technique”)

Resection of a large endometriotic nodule of the bladder using a combined laparoscopic and cystoscopic approach (“light to light technique”)

Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section

National survey of bladder endometriosis cases in Japan

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