1425 Robotic Resection of Full Thickness Bladder Wall Endometriosis

Abstract

Video Objective To demonstrate a case of invasive endometriosis of the bladder wall, with preoperative images and description of operative technique for thorough removal and bladder wall closure. Setting Private practice specialized in endometriosis care. Interventions A 27 year old woman with stage IV endometriosis presented with infertility and pelvic pain. Pre-operative evaluation and MRI demonstrated bladder wall disease, as well as disease of the sigmoid colon and cecum. Complex robotic surgery was performed including ureteral catheter placement, resection of pelvic endometriosis, shave resection of colon, ileocecectomy, and full thickness bladder wall resection. This video focuses on removal of bladder disease, including preoperative workup and technique. The patient did well postoperatively with no complication and significant improvement in symptoms. Conclusion Bladder wall endometriosis in the dome of the bladder is readily resectable using laparoscopic or robotic techniques.