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Bladder endometriosis

Adil E Bharucha, Tae Hee Lee
Although pelvic pain is a symptom of several structural anorectal and pelvic disorders (eg, anal fissure, endometriosis, and pelvic inflammatory disease), this comprehensive review will focus on the 3 most common nonstructural, or functional, disorders associated with pelvic pain: functional anorectal pain (ie, levator ani syndrome, unspecified anorectal pain, and proctalgia fugax), interstitial cystitis/bladder pain syndrome, and chronic prostatitis/chronic pelvic pain syndrome. The first 2 conditions occur in both sexes, while the latter occurs only in men...
October 2016: Mayo Clinic Proceedings
F Algreisi, G Vilos, A Oraif, A Vilos, S Pautler
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
A Lam, T A Almotrafi, M Mangot
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
S Yao
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
F A Alvi, M Zubair, B Diakos
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
O Sobowale, K Riley, J Raman, G Harkins
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
J Nutan
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
L Liu, A Shay, I Kerin Orbuch, L Orbuch
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Eirwen M Miller, Ying Sun, Ingride Richardson, Marina Frimer
Endometriosis is associated with increased rates of ovarian, particularly clear cell, adenocarcinomas. Malignant transformation of ovarian endometriosis is most common but rare cases have been reported in the bladder, abdominal wall, diaphragm, and rectum. We present the case of a 44-year-old female with vesical clear cell adenocarcinoma arising in a background of endometriosis in the absence of other pelvic endometriosis. The malignancy was diagnosed on transurethral resection of bladder tumor and managed with radical surgery...
November 2016: Gynecologic Oncology Reports
Rafael Mamprin Stopiglia, Ubirajara Ferreira, Daniel Gustavo Faundes, Carlos Alberto Petta
INTRODUCTION: Endometriosis is a disease with causes still unclear, affecting approximately 15% of women of reproductive age, and in 1%-2% of whom it may involve the urinary tract. The bladder is the organ most frequently affected by endometriosis, observed around 85% of the cases. In such cases, the most effective treatment is partial cystectomy, especially via videolaparoscopy. Study Objective, Design, Size and Duration: In order to identify and delimit the extent of the intravesical endometriosis lesion, to determine the resection limits, as well as to perform an optimal reconstruction of the organ aiming for its maximum preservation, we performed a cystoscopy simultaneously with the surgery, employing a modified light-tolight technique in 25 consecutive patients, from September 2006 to May 2012...
September 1, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Antonio Simone Laganà, Salvatore Giovanni Vitale, Maria Antonietta Trovato, Vittorio Italo Palmara, Agnese Maria Chiara Rapisarda, Roberta Granese, Emanuele Sturlese, Rosanna De Dominici, Stefano Alecci, Francesco Padula, Benito Chiofalo, Roberta Grasso, Pietro Cignini, Paolo D'Amico, Onofrio Triolo
Endometriosis is defined as the presence of endometrial mucosa (glands and stroma) abnormally implanted in locations other than the uterine cavity. Deep infiltrating endometriosis (DIE) is considered the most aggressive presentation of the disease, penetrating more than 5 mm in affected tissues, and it is reported in approximately 20% of all women with endometriosis. DIE can cause a complete distortion of the pelvic anatomy and it mainly involves uterosacral ligaments, bladder, rectovaginal septum, rectum, and rectosigmoid colon...
2016: BioMed Research International
Louis Marcellin, Cécile Morin, Pietro Santulli, Paul Marzouk, Antoine Bourret, Bertrand Dousset, Bruno Borghese, Charles Chapron
STUDY OBJECTIVE: To analyze whether a prior history of uterine surgery correlates with disease severity in patients with bladder deep infiltrating endometriosis (DIE). DESIGN: This was an observational, cross-sectional study using data that was collected prospectively (Canadian Task Force classification II-2). SETTING: A single university tertiary referral center. PATIENTS: We included all non-pregnant women less than 42 years of age who had undergone complete surgical exeresis of endometriotic lesions...
August 20, 2016: Journal of Minimally Invasive Gynecology
Nicola Berlanda, Edgardo Somigliana, Maria Pina Frattaruolo, Laura Buggio, Dhouha Dridi, Paolo Vercellini
Deep endometriosis, occurring approximately in 1% of women of reproductive age, represents the most severe form of endometriosis. It causes severe pain in the vast majority of affected women and it can affect the bowel and the urinary tract. Hormonal treatment of deep endometriosis with progestins, such as norethindrone acetate or dienogest, or estroprogestins is effective in relieving pain in more than 90% of women at one year follow up. Progestins and estroprogestins can be safely administered in the long-term, may be not expensive and are usually well tolerated...
August 8, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Erica C Dun, Serena Wong, Nisha A Lakhi, Ceana H Nehzat
OBJECTIVE: To report the medical and surgical management of a rare case of recurrent moss-like endometriosis and associated hemorrhagic ascites. DESIGN: Video description of the case, demonstration of the surgical technique, discussion of the histology, and review of endometriosis-associated ascites. SETTING: Tertiary referral center. PATIENT(S): A 26-year-old nulliparous woman of Nigerian heritage with recurrent hemorrhagic ascites due to endometriosis...
August 16, 2016: Fertility and Sterility
Ziv Tsafrir, Joelle Aoun, Rabbie Hanna, Eleni Papalekas, Lauren Schiff, Evan Theoharis, David Eisenstein
BACKGROUND AND OBJECTIVES: A renewed interest in the supra cervical approach to hysterectomy has created a cohort of patients with a retained cervix at risk of persistent symptoms requiring a subsequent trachelectomy. The objective of this study was to evaluate the efficacy of robotic trachelectomy after a previous supracervical hysterectomy. METHODS: This is a retrospective chart review of women who had robotic trachelectomy after supracervical hysterectomy for benign gynecologic disease from January 2009 through October 2014...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Caterina Exacoustos, Ilaria Lauriola, Lucia Lazzeri, Giovanna De Felice, Errico Zupi
OBJECTIVE: To study outcomes and complications during pregnancy and at delivery in women with a posterior deep infiltrating endometriosis (DIE) nodule persisting after surgery and diagnosed at transvaginal sonography (TVS) in comparison with a control group of women without endometriosis. DESIGN: Multicenter observational and cohort study. SETTING: University hospital. PATIENT(S): Women (n = 200) with a posterior DIE nodule equal or more than 2 cm centimeters in size who desired a pregnancy and a control group of women (n = 300) with no previous recorded diagnosis of endometriosis who delivered in our clinic during the same time period...
October 2016: Fertility and Sterility
Ali Yosef, Catherine Allaire, Christina Williams, Abdel Ghaffar Ahmed, Tarek Al-Hussaini, Mohamad S Abdellah, Fontayne Wong, Sarka Lisonkova, Paul J Yong
BACKGROUND: Chronic pelvic pain affects ∼15% of women, and is associated with significant societal cost and impact on women's health. Identifying factors involved in chronic pelvic pain is challenging due to its multifactorial nature and confounding between potential factors. For example, while some women with endometriosis have chronic pelvic pain, there may be comorbid conditions that are implicated in the chronic pelvic pain rather than the endometriosis itself. OBJECTIVE: To explore multifactorial variables independently associated with the severity of chronic pelvic pain in women...
July 18, 2016: American Journal of Obstetrics and Gynecology
Christopher Jd Wallis, Douglas C Cheung, Alaina Garbens, Jamie Kroft, Lesley Carr, Avery B Nathens, Lesley Po, Robert Nam, Grace Liu, Lillian Gien, Raj Satkunasivam
OBJECTIVE: To determine the occurrence of lower genito-urinary tract (LGUT) injury during hysterectomy for benign disease and identify risk factors for LGUT injury, with a specific focus on the effect of hysterectomy modality. METHODS: We performed a retrospective cohort study of patients undergoing hysterectomy for benign disease from 2010-2014 using the ACS National Surgical Quality Improvement Program, a multi-institutional prospective registry that captures peri-operative surgical outcomes...
June 29, 2016: Urology
K D Suson, B Inouye, A Carl, J P Gearhart
INTRODUCTION: Cloacal exstrophy (CE) is the most severe manifestation of the epispadias-exstrophy spectrum. Previous studies have indicated an increased rate of renal anomalies in children with classic bladder exstrophy (CBE). Given the increased severity of the CE defect, it was hypothesized that there would be an even greater incidence among these children. OBJECTIVE: The primary objective was to characterize renal anatomy in CE patients. Two secondary objectives were to compare these renal anatomic findings in male and female patients, and female patients with and without Müllerian anomalies...
August 2016: Journal of Pediatric Urology
G P Fragulidis, F V Oreopulu, A Vezakis, C Sofoudis, E Kalambokas, V Koutoulidis, N F Vlahos
Endometriosis represents a main cause of infertility and pelvic pain affecting 3-43% among reproductive age women. Deep pelvic endometriosis is defined as subperitoneal infiltration of endometrial implants in the uterosacral ligaments, rectum, rectovaginal septum, vagina or bladder. The authors present a case of a 29-year-old patient who underwent laparoscopic excision of extensive endometriotic plaque in rectovaginal septum accompanied with deeply infiltrating endometriosis (DIE) and chronic pelvic pain (CPP)...
2016: Clinical and Experimental Obstetrics & Gynecology
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