Surgical Treatment of Post Abortum Endometriosis of the Bladder and Postoperative Bladder Function

Abstract

During the years 1953-1967, 17 women with endometriosis of the urinary bladder were treated with extirpation of the endometrial tissue, including partial or total resection of the trigone. In all cases the endometriosis had followed vaginal hysterotomy for legal abortion. Urethrocystoscopy was performed and the residual urine and bladder capacity were measured in all the patients one month and one year after the bladder operation. At follow-up in 1978 only 4 of the 17 women were available for urodynamic studies. Combined urethrocystometry, recording of the urethral pressure profile and measurement of the maximal urethral pressure in supine and standing positions were performed in these four patients, using the technique of Ulmsten et al. In all cases in the series, including those with trigone extirpation, all the tested parameters were normal. The writers therefore conclude that even total trigone resection can be done without disturbance to the bladder function.

Laparoscopic partial bladder resection for bladder endometriosis

“…Hormonal therapies involve progestogens, danazol or GnRH agonists. The treatments may be effective in relieving patients' symptoms, but unfortunately, these recur after cessation of the therapy 2 –8 . We observed no improvement in symptoms or decrease in tumour size in either of our patients when they were treated with GnRH agonists or progestogens.…”

“…About 200 cases of bladder endometriosis have been reported 5 . To our knowledge, only three reports of laparoscopic management have been published 6 ,.…”

Endometriosis from thelarche to midteens: pathogenesis and prognosis, prevention and pedagogy

“…34,35 Unintentional surgical transplantation of endometrium has been documented after surgical correction of uterine anomalies, cesarean section, episiotomy, and abdominal or vaginal hysterotomy. 36,37 Lymphatic and hematogenous metastases seem unlikely in this age group except in unusually aggressive cases associated with multiple pathogeneses.…”

Surgery for Endometriosis of the Bowel, Bladder, Ureter, and Diaphragm

“…The bladder wall is one of the sites least frequently involved with endometriosis. In fact, until recently fewer than 180 cases have been reported 18 . Management options include hormone suppressive therapy, oophorectomy, hysterectomy, and/or segmental cystectomy 19,20…”