Fertility Preserving Robotic Surgery for Infiltrating Bladder Endometriosis

Abstract

<h3>Study Objective</h3> The uterus is normally lined by endometrium, when any other site has endometriotic tissue it is known as pathological endometriosis. If this endometroitic tissue is found in the gynaecologist most feared organ the bladder it is bladder endometriosis which is a rare entity almost to the tune of 1-2%. <h3>Design</h3> Mrs V, nulligravida with primary infertility presented to Gyane OPD with complaints of dysmenorrhea, dyspareunia and heavy menstrual bleeding for last one and a half years. She had cyclical hematuria. On history a strong clinical suspicion of bladder endometriosis was confirmed by transvaginal ultrasound (TVS) and MRI <h3>Setting</h3> Cystoscopy performed by Urologist reaffirmed the diagnosis of bladder endometriosis. A 3.5 × 2cms nodule was visualized in bladder mucosa on posterior wall away from the uteric orifice. Using operative cystoscopy transurethral coring of the endometroitic nodule in the bladder was uptil the muscularis. <h3>Patients or Participants</h3> 1 <h3>Interventions</h3> Robotic Fertility Sparing Surgery for Infiltrating Bladder Endometriosis <h3>Measurements and Main Results</h3> Multidisciplinary approach towards bladder endometriosis and complete disease resection <h3>Conclusion</h3> Bladder endometriosis can be diagnosed both clinically & radiologically. With the advent of robotic surgery, it has now become easier to perform such complex surgeries with better postoperative