Bladder Endometriosis: What do we know and what is left to find out? A narrative review

IF 3.9 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI:10.1016/j.bpobgyn.2024.102536

Kyle Fleischer , Averyl Bachi , Jonathan Kam , Priya Narayanan , Rajesh Nair , Shaheen Khazali

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引用次数: 0

Abstract

Bladder endometriosis accounts for 70–85% of urinary tract endometriosis cases. Urinary tract endometriosis occurs in approximately 1% of those living with endometriosis. Underlying aetiology and pathogenesis are not fully understood, but there are several plausible theories. As well as the typical pain symptoms, those with bladder endometriosis can experience several urinary tract symptoms. The manifestation of these symptoms can have complex pathways and processes. Imaging is accurate in the diagnosis of bladder endometriosis and clinicians should be mindful of the risk of silent kidney loss. Management should be guided by symptoms; both medical and surgical options are feasible. Surgical management offers potentially definitive treatment. Excisional surgery via bladder shave or partial cystectomy offers good improvement in symptoms with relatively low rates of serious complications and recurrence.

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膀胱子宫内膜异位症：我们知道什么，还有什么有待发现？叙述性综述。

膀胱子宫内膜异位症占尿路子宫内膜异位症病例的 70-85%。约有 1%的子宫内膜异位症患者患有尿路子宫内膜异位症。其病因和发病机制尚不完全清楚，但有几种似是而非的理论。除了典型的疼痛症状外，膀胱子宫内膜异位症患者还会出现多种尿路症状。这些症状的表现可能有复杂的途径和过程。影像学检查可准确诊断膀胱子宫内膜异位症，临床医生应注意无声肾损的风险。治疗应根据症状而定；药物和手术治疗都是可行的。手术治疗可能是最终的治疗方法。通过膀胱刮除术或膀胱部分切除术进行的切除手术能很好地改善症状，严重并发症和复发率相对较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Best Practice & Research Clinical Obstetrics & Gynaecology 医学-妇产科学

CiteScore

9.40

自引率

1.80%

发文量

113

审稿时长

54 days

期刊介绍： In practical paperback format, each 200 page topic-based issue of Best Practice & Research Clinical Obstetrics & Gynaecology will provide a comprehensive review of current clinical practice and thinking within the specialties of obstetrics and gynaecology. All chapters take the form of practical, evidence-based reviews that seek to address key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. Management will be described in practical terms so that it can be applied to the individual patient.