Cited by 112Endometriosis Research and TreatmentUrinary and Genital Oncology StudiesGynecological conditions and treatments

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Diagnosis and Treatment of Bladder Endometriosis: State of the Art

Maccagnano, Carmen, Pellucchi, Federico, Rocchini, Lorenzo, Ghezzi, Massimo, Scattoni, Vincenzo, Montorsi, Francesco, Rigatti, Patrizio, Colombo, Renzo·2012·Urologia Internationalis

DOI 10.1159/000339519

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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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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)
ORCID: Montorsi, Francesco
Colombo, Renzo
Venue: Urologia Internationalis
Publisher: S. Karger AG
Published: 2012
Volume: 89
Issue: 3
Pages: 249-258
ISSN: 0042-1138 (ISSN-L)
1423-0399
DOI: 10.1159/000339519
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
Licence: www.karger.com/Services/SiteLicenses (vor)
www.karger.com/Services/SiteLicenses (tdm)
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

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Diagnosis and Treatment of Bladder Endometriosis: State of the Art

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