Transurethral partial cystectomy and laparoscopic reconstruction for the management of bladder endometriosis

Objective: To report the successful management of bladder endometriosis with laparoscopic and transurethral partial cystectomy. Design: Case report. Setting: Tertiary-care university hospital. Patient(s): A 36-year-old woman with bladder endometriosis. Intervention(s): Combined laparoscopic and transurethral excision of endometriotic lesions and bladder repair. Main Outcome Measure(s): Symptoms remission. Result(s): A hypoestrogenic agent with gonadotropin-releasing hormone (GnRH) agonist was administered for 6 months after the surgery. The patient found to be in good health with normal voiding and full continence during 14 months of regular follow-up evaluations. Conclusion(s): Combined laparoscopy and transurethral resectoscopy can be an alternative treatment to traditional laparotomy in women with bladder endometriosis, especially in those who have simultaneous pelvic endometriosis.