Diagnosis and treatment of bladder endometriosis: state of the art
Abstract
Background: The bladder is the most common affected site in urinary tract endometriosis, being diagnosed during gynecologic follow-up. The surgical urological treatment might lead to good results. Study Objective: To define the state of the art in the diagnosis and treatment of bladder endometriosis. Methods: We performed a literature review by searching the MEDLINE database for articles published between 1996 and 2011, limiting the searches to the words: urinary tract endometriosis, bladderendometriosis, symptoms, diagnosis and treatment.Results: Deep pelvic endometriosis usually involves the urinary system, with the bladder being affected in 85% of cases. The diagnosis has to be considered as a step-by-step procedure. Currently, the treatment is usually surgical, consisting of either transurethral resection or partial cystectomy, and eventually associated with hormonal therapy. The hormonal therapy alone counteracts only the stimulus of endometriotic tissue proliferation, with no effects on the scarring caused by this tissue. The overall recurrence rate is about 30% for combined therapies and about 35% for the hormonal treatment alone. Conclusions: The bladder is the most common affected site in urinary tract endometriosis. Most of the time, this condition is diagnosed because of the complaint of urinary symptoms during gynecologic follow-up procedures for a deep pelvic endometriosis: a close collaboration between the gynecologist and the urologist is advisable, especially in highly specialized centers. The surgical urological treatment might lead to good results in terms of patients’ compliance and prognosis.
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Women with endometriosis experience bowel and urinary symptoms that are also associated with the menstrual phase.
“Women with endometriosis experience bowel and urinary symptoms that are also associated with the menstrual phase (59, 60)”
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- Authors
- Maccagnano, C., Pellucchi, F., Rocchini, L., Ghezzi, M., Scattoni, V., Montorsi, F., Rigatti, P., & Colombo, R.
- Affiliations
- IRCCS Ospedale San Raffaele (IT)
- Vita-Salute San Raffaele University (IT)
- Venue
- Urologia Internationalis
- Publisher
- S. Karger AG
- Published
- 2012
- Volume
- 89
- Issue
- 3
- Pages
- 249-258
- ISSN
- 0042-1138 (ISSN-L)
- 1423-0399
- OpenAlex
- W2080712840
- Semantic Scholar
- 5aae0784b418c05f8e44a582acaa51de46886d84
- Cited by
- 112
- References
- 86
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 9 · 2023: 12 · 2022: 10 · 2021: 9 · 2020: 14 · 2019: 8 · 2018: 8 · 2017: 8 · 2016: 5 · 2015: 6 · 2014: 11 · 2013: 1
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Urologia Internationalis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Surgery › Urinary and Genital Oncology Studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- bladder endometriosis, urinary tract endometriosis, deep infiltrating endometriosis, diagnosis, surgical treatment, transurethral resection, partial cystectomy, hormone therapy, recurrence
- MeSH terms
- Urinary Bladder, Urinary Bladder Diseases, Diagnosis, Differential, Endometriosis, Female, Hormones, Humans, Prognosis, Recurrence, Ultrasonography, Urology, Cystectomy, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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