Laparoscopic Management of Bladder Endometrioma
An optimal treatment of bladder and urethral endometriosis should ideally involve a team of experts, ie, gynecologic endoscopists, radiologists, and urologists, who are familiar with endometriosis. Endometriosis means presence of endometrium outside the uterus. Pelvic surgeries such as caesarean section, tubal ligation, hysterotomy, laparotomy for ectopic pregnancy and hysterectomy lead to implantation of endometrium in skin, subcutaneous tissue, sheath, rectus muscles, vesicovaginal septum and in uterine scar . Involvement of decidua in uterine scar grows as bladder endometriosis. This supports the migratory or metastatic theory of implantation of endometriosis. Involvement of decidua in uterine scar grows as bladder endometriosis. Most commonly it affects organs such as the ovaries, uterine ligaments, fallopian tubes, rectum and the cervico-vaginal region. Involvement of the urinary tract, is seen in just about 1% cases. Bladder is involved in 84% cases. Patients underwent coagulation of the endometriotic foci over the uterovesical peritoneum.