Endometriosis of the bladder trigone: a fertility- sparing approach

Endometriosis can affect a variety of organs, including the urinary tract. Involvement of urinary structures occurs in 1-5% of endometriosis cases. Patients with urinary tract endometriosis can present with cyclic urinary frequency, dysuria, hematuria, urgency and pain with bladder distention. This video presents a 35-year-old nulliparous woman with dysmenorrhea, dysuria, urgency and pain with bladder distention. Pelvic MRI demonstrated uterine fibroids and deep infiltrating endometriosis invading the right pelvic sidewall and right bladder base involving the full thickness of the bladder near the right ureterovesical junction, without ureteral obstruction.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research