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Objective: Report of successful treatment of bladder endometriosis with laparoscopic extramucosal resection.
Case report: A 28-year-old woman presented with dysmenorrhea and mild urodynia. An 11 mm endometriotic nodule, blue in color with mucosal edema, was noted on the posterior wall of the bladder. There also was a 3 cm endometriotic cyst in the right ovary. Following pelvic adhesiolysis, laparoscopic excision of the lesions in the bladder wall and right ovary was performed. Resection of the bladder lesion was carried out preserving the bladder mucosa. The post-operative course was uneventful. Post-operatively, deinogest was administered for 1 year. The patient was in good health and had no urinary tract symptoms.
Conclusion: Laparoscopic resection of a bladder endometriotic lesion with preservation of the bladder mucosa may be a method of choice to treat bladder endometriosis, as well as to reduce the side effects which might be caused by operative interventions.
