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01-12-2013 | General Gynecology

Deep endometriosis inflicting the bladder: long-term outcomes of surgical management

Authors: Ron Schonman, Zohar Dotan, Adi Y. Weintraub, Guy Bibi, Vered H. Eisenberg, Daniel S. Seidman, Mordechai Goldenberg, David Soriano

Published in: Archives of Gynecology and Obstetrics | Issue 6/2013

Abstract

Objective

To assess the efficacy and safety of laparoscopic treatment of bladder endometriosis, especially in cases of full thickness endometriotic nodules.

Design

Retrospective review of medical records.

Setting

Tertiary medical center and a referral center for endometriosis.

Population

Sixty-nine patients with bladder endometriosis that underwent surgery between January 2005 and December 2011.

Methods

The records of all patients with bladder endometriosis were reviewed and the pre-, intra- and postoperative information of patients who underwent surgery was collected.

Main outcome measures

Efficacy, safety and long-term outcome of laparoscopic treatment of bladder endometriosis.

Results

The mean age of 69 patients with bladder endometriosis was 31.3 ± 4.6 years. Preoperative urinary symptoms (such as frequency, urgency, dysuria and others) were present in 28 (40.0 %) patients. Laparoscopy was performed in all patients. Deep detrusor involvement was found in 45 (65.2 %) patients. Of these, 21 patients underwent partial cystectomy due to a full thickness lesion. Deep nodule resection without bladder invasion was performed in 24 (34.8 %) patients and bladder nodule coagulation and ablation in the remaining 24 (34.8 %) patients with superficial involvement. No intraoperative complications were noted. Postoperative follow-up results were available for all patients. After a median (range) follow-up period of 60 (4–92) months, 92.7 % of the patients were asymptomatic or reported improvement in symptoms.

Conclusions

After a long-term follow-up surgical management of bladder endometriosis is strongly recommended. During surgery, careful inspection and full excision of bladder lesions should be performed. Laparoscopic excision is a safe and efficacies approach.

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Title: Deep endometriosis inflicting the bladder: long-term outcomes of surgical management
Authors: Ron Schonman
Zohar Dotan
Adi Y. Weintraub
Guy Bibi
Vered H. Eisenberg
Daniel S. Seidman
Mordechai Goldenberg
David Soriano
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 6/2013
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-013-2917-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Deep endometriosis inflicting the bladder: long-term outcomes of surgical management

Abstract

Objective

Design

Setting

Population

Methods

Main outcome measures

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Design

Setting

Population

Methods

Main outcome measures

Results

Conclusions

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