Approach to the Laparoscopic Excision of Bladder Endometriosis

Abstract

Study Objective To describe a stepwise approach to the excision of bladder endometriosis by laparoscopy. Design Surgical video. Setting Academic tertiary care hospital. Patients or Participants Surgical footage was obtained from three patients who underwent surgery for bladder endometriosis. Interventions Laparoscopic excision of bladder endometriotic nodule by partial cystectomy. Measurements and Main Results The approach to the excision of bladder endometriotic nodules can be standardized in 6 reproducible steps: (1) cystoscopy; (2) abdominal survey; (3) bladder mobilization; (4) partial bladder cystectomy under cystoscopic guidance; (5) cystotomy closure; (6) water-leak test. Conclusion The safe and complete excision of bladder endometriosis relies on the understanding of surgical anatomy, the multi-disciplinary aspect of patient care, and the standardization of the surgical approach To describe a stepwise approach to the excision of bladder endometriosis by laparoscopy. Surgical video. Academic tertiary care hospital. Surgical footage was obtained from three patients who underwent surgery for bladder endometriosis. Laparoscopic excision of bladder endometriotic nodule by partial cystectomy. The approach to the excision of bladder endometriotic nodules can be standardized in 6 reproducible steps: (1) cystoscopy; (2) abdominal survey; (3) bladder mobilization; (4) partial bladder cystectomy under cystoscopic guidance; (5) cystotomy closure; (6) water-leak test. The safe and complete excision of bladder endometriosis relies on the understanding of surgical anatomy, the multi-disciplinary aspect of patient care, and the standardization of the surgical approach