Laparoscopic partial cystectomy for deep endometriosis
Epublication WebSurg.com, May 2011;11(05). URL: http://websurg.com/doi/vd01en3204
Patients with bladder endometriosis may present with variable painful symptoms, hematuria, repeated urinary infection and/or infertility. The main treatment is a complete resection of the lesion. We report the case of a 30-year-old patient with no previous pregnancies presenting with pelvic endometriosis recurrence located at the level of the bladder dome. Her medical history shows a cystoscopic coagulation of an endometriotic nodule of the bladder. Preoperative MRI showed a 3cm single nodule protruding of the bladder. The procedure started by the dissection of the vesicouterine space followed by partial cystectomy using a monopolar hook. A running suture in two layers was carried out to close the cystotomy, and its integrity and bilateral ureteral patency was confirmed. Six weeks later at postoperative follow-up the patient was pain-free and without any urinary symptoms. This video was awarded first place at the AAGL 5th International Congress on Minimally Invasive Gynecology held in conjunction with the Turkish Society of Gynecological Endoscopy (TSGE) 4th Annual Scientific Meeting.