Original articleRelationship between site and size of bladder endometriotic nodules and severity of dysuria
Section snippets
Study population
Between January 2001 and June 2005, a continuous series of 526 patients underwent laparoscopic treatment for pelvic endometriosis in the minimal invasive surgery unit of S. Orsola University Hospital, a tertiary referral center for treatment of endometriosis. For these patients, medical, gynecologic, and operative records were retrospectively reviewed (G.V., M.M.) and assessed to identify cases with DIE of the bladder. Diagnosis was considered confirmed when endometrial glands and stroma were
Results
Of the 526 patients eligible for the study, 92 patients with endometriosis located solely in the serosa were not included in the study population. Forty-one patients (7.8%) were confirmed microscopically to have bladder endometriosis and were enrolled in our retrospective series. Clinical characteristics of the subjects recruited are reported in Table I.
Endometriotic lesions at the base of the bladder were observed in 18 (43.9%) of 41 patients versus in 23 (56.1%) at the dome. No patients had
Discussion
Although pain is a very important aspect of endometriosis, little is known about the relationship among type and site of endometriotic lesions, disease stage, and severity of pain.14 Deep infiltrating endometriosis is the only macroscopic type of endometriosis for which the relationship with chronic pelvic pain symptoms appears to be well understood.10
The main objective of the present study was to ascertain whether there is a relationship among dysuria (as a probable location-indicating pain)
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The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.