Case Report
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Bladder Endometriosis In A Woman Who Complains About Chronic Pelvic Pain And Periodic Hematuria

Year 2017, Volume: 31 Issue: 2, 113 - 116, 23.08.2017

Abstract

A 36 year old woman with 2 pregnancies which one of
them is delivered by cesarean section 7 year ago and the other one was abortus
applied for periodic hematuria (menuria) and chronic pelvic pain. Cystoscopy
was performed and bladder mucosal biopsy was obtained because of suspicious
bladder mass in abdominopelvic ultrasonography. Pathological diagnosis was
bladder endometriosis. Gonadotrophin releasing hormon analog ( leuprolide
asetat) treatment was used for 6 months. 2 months after therapy she applied
again with pelvic pain. Diagnostic laparoscopy and second look cystoscopy was
performed and regression of the endometriotic foci were seen. Pain and palpable
mass out of pelvis may be a symptom of extrapelvic endometriosis although it is
frequently asymptomatic.
Urinary endometriosis is an unrecoverable
disease, and collective approach of the gynecologist and urologist is necessary
for treatment options. 
The
severity of symptoms, spread of disease, probability of recurrences and cost of
treatment shoud be considered and accurate modality of the treatment shoud be
offered to the patient.




References

  • Referans1 Stopiglia RM, Ferreira U, Faundes DG, Petta CA. Cystoscopy-assisted laparoscopy for bladder endometriosis: modified light-to-light technique for bladder preservation. Int Braz J Urol 2016.
  • Referans2 Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol 2001;25:445,
  • Referans3 Donnez J, Spada F, Squifflet J, Nisolle M, Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril 2000;74:1175.
  • Referans4 Zugor V, Krot D, Rösch WH, Schrott KM, Schott GE, Endometriosis of the ureter and urinary bladder. Urologe A 2007;46:71.
  • Referans5 Kołodziej A, Krajewski W, Dołowy Ł, Hirnle L. Urinary Tract Endometriosis. Urol J 2015;12:2213-7.
  • Referans6 Manikandan R, Pollard A, Pritchard S, Adeyoju A. Vesical endometriosis. J Obstet Gynaecol 2004;24:327
  • Referans7 Westney OL, Amundsen CL, McGuire EJ. Bladder endometriosis: conservative management. J Urol 2000;163:1814.
  • Referans8 Vercellini P, Cortesi I, Crosignani PG, Depot medroxyprogesterone acetate versus an oral contraceptive combined with very-low dose danazol for long-term treatment of pelvic pain associated with endometriosis. Am J Obstet Gynecol 1996;175:396.
  • Referans9 Fedele L, Bianchi S, Viezzoli T,et al. Gestrinone versus danazol in the treatment of endometriosis. Fertil Steril 1989;51:781.
  • Referans10 Ke X, Qian H, Kang L, Wang J, Xie Y, Cheng Z. Clinical analyses of endometriosis after conservative surgery. Int J Clin Exp Med 2015;15;8(11):21703-6.

Kronik pelvik ağrı ve siklik hematüri ile başvuran bir kadında mesanede endometriozis

Year 2017, Volume: 31 Issue: 2, 113 - 116, 23.08.2017

Abstract

Otuz altı yaşında, gebelik 2 doğum 1 abortus 1 ve 7
yıl önce sezeryan öyküsü bulunan hasta siklik hematüri (menüri) ve kronik
pelvik ağrı yakınması ile başvurdu. Abdominopelvik ultrasonografide mesanede
kitle şüphesiyle sistoskopi yapılarak biopsi alındı. Patolojik tanı mesanede
endometriozis idi. Gonadotropin releasing hormon analoğu yakınması (leuprolide
asetat) tedavisi 6 ay uygulandı. Tedaviden 2 ay sonra kasık ağrısı şikayeti ile
tekrar başvurdu. Tanısal laparoskopi ve ikinci bakış sistoskopisi yapıldı ve
endometriozis odaklarının regrese olduğu saptandı. Sıklıkla asemptomatik olsa
da, ağrı ve pelvis dışında ele gelen bir kitlenin varlığı ekstrapelvik
endometriozisin semptomları olabilir. Üriner endometriozis gibi sağaltımı zor
bir hastalıkta tedavi basamaklarına kadın doğum ve üroloji uzmanları birlikte
karar vermelidir. Yakınmaların şiddeti, hastalığın yaygınlığı, tekrarlama
olasılığı ve tedavi maliyeti göz önüne alınarak doğru tedavi yöntemi hastaya
önerilmelidir.




References

  • Referans1 Stopiglia RM, Ferreira U, Faundes DG, Petta CA. Cystoscopy-assisted laparoscopy for bladder endometriosis: modified light-to-light technique for bladder preservation. Int Braz J Urol 2016.
  • Referans2 Yantiss RK, Clement PB, Young RH. Endometriosis of the intestinal tract: a study of 44 cases of a disease that may cause diverse challenges in clinical and pathologic evaluation. Am J Surg Pathol 2001;25:445,
  • Referans3 Donnez J, Spada F, Squifflet J, Nisolle M, Bladder endometriosis must be considered as bladder adenomyosis. Fertil Steril 2000;74:1175.
  • Referans4 Zugor V, Krot D, Rösch WH, Schrott KM, Schott GE, Endometriosis of the ureter and urinary bladder. Urologe A 2007;46:71.
  • Referans5 Kołodziej A, Krajewski W, Dołowy Ł, Hirnle L. Urinary Tract Endometriosis. Urol J 2015;12:2213-7.
  • Referans6 Manikandan R, Pollard A, Pritchard S, Adeyoju A. Vesical endometriosis. J Obstet Gynaecol 2004;24:327
  • Referans7 Westney OL, Amundsen CL, McGuire EJ. Bladder endometriosis: conservative management. J Urol 2000;163:1814.
  • Referans8 Vercellini P, Cortesi I, Crosignani PG, Depot medroxyprogesterone acetate versus an oral contraceptive combined with very-low dose danazol for long-term treatment of pelvic pain associated with endometriosis. Am J Obstet Gynecol 1996;175:396.
  • Referans9 Fedele L, Bianchi S, Viezzoli T,et al. Gestrinone versus danazol in the treatment of endometriosis. Fertil Steril 1989;51:781.
  • Referans10 Ke X, Qian H, Kang L, Wang J, Xie Y, Cheng Z. Clinical analyses of endometriosis after conservative surgery. Int J Clin Exp Med 2015;15;8(11):21703-6.
There are 10 citations in total.

Details

Journal Section Articles
Authors

Serdar Balcı This is me

Çağlan Ertuğrul This is me

Kutsal Yörükoğlu

Burçin Tuna

Meral Koyuncuoğlu

Recep Emre Okyay This is me

Ömer Erbil Doğan This is me

Güven Aslan This is me

Publication Date August 23, 2017
Submission Date March 9, 2016
Published in Issue Year 2017 Volume: 31 Issue: 2

Cite

Vancouver Balcı S, Ertuğrul Ç, Yörükoğlu K, Tuna B, Koyuncuoğlu M, Okyay RE, Doğan ÖE, Aslan G. Kronik pelvik ağrı ve siklik hematüri ile başvuran bir kadında mesanede endometriozis. J DEU Med. 2017;31(2):113-6.