Bladder Involvement in Stage I Endometriosis

作者：Brady Paula C; Missmer Stacey A; Laufer Marc R

来源：Journal of Pediatric and Adolescent Gynecology, 2017, 30(4): 503-504.

DOI：10.1016/j.jpag.2017.03.143

• Endometriosis
• Cystoscopy
• Pelvic pain
• Urinalysis
• Gynecology

Background: Endometriosisdthe ectopic implantation of endometrial-like tissuedaffects 10% of adolescent females and adults. Bladder involvement, causing dysuria and hematuria, occurs in a very small number of endometriosis patients.
Case: The patient presented at age 12 years with dysuria and pelvic pain. Laparoscopy revealed stage I endometriosis. Postoperatively, she reported persistent dysuria and passage of tissue in her urine. Cystoscopy showed diffuse erythema; urine cytology revealed glandular and spindle cells suggestive of endometriosis. She was transitioned from oral contraceptives to an intranasal gonadotropin-releasing hormone agonist, with symptom resolution. Summary and
Conclusion: Intravesicular endometriosis coinciding with stage I disease supports a mechanism of endometriosis dissemination other than direct bladder infiltration. Patients with endometriosis who complain of urinary symptoms warrant assessment, because intravesicular bladder involvement cannot be excluded using pelviscopy.

• 出版日期2017-8