Urinary incontinence and bladder endometriosis: conservative management
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- 作者：Umberto Leone Roberti Maggiore (1)
Simone Ferrero (2)
Stefano Salvatore (1)
1. Obstetrics and Gynaecology Unit ; Vita-Salute San Raffaele University and IRCCS San Raffaele Hospital ; Via Olgettina 58鈥?0 ; 20132 ; Milan ; Italy
2. Obstetrics and Gynaecology Unit ; IRCCS San Martino Hospital and National Institute for Cancer Research ; University of Genoa ; Genoa ; Italy - 关键词：Bladder ; Dienogest ; Endometriosis ; Urinary incontinence
- 刊名：International Urogynecology Journal
- 出版年：2015
- 出版时间：January 2015
- 年：2015
- 卷：26
- 期：1
- 页码：159-162
- 全文大小：1,764 KB
- 参考文献：1. Ferrero S, Biscaldi E, Luigi Venturini P, Remorgida V (2011) Aromatase inhibitors in the treatment of bladder endometriosis. Gynecol Endocrinol 27:337鈥?40 CrossRef
2. Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A (2011) Prevalence and management of urinary tract endometriosis: a clinical case series. Urology 78:1269鈥?274 CrossRef
3. Serati M, Cattoni E, Braga A, Uccella S, Cromi A, Ghezzi F (2013) Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world. Fertil Steril 100:1332鈥?336 CrossRef
4. Possover M (2014) Pathophysiologic explanation for bladder retention in patients after laparoscopic surgery for deeply infiltrating rectovaginal and/or parametric endometriosis. Fertil Steril 101:754鈥?58 CrossRef - 刊物主题：Gynecology; Urology/Andrology;
- 出版者：Springer London
- ISSN：1433-3023
文摘
Bladder endometriosis causes urinary symptoms including frequency, dysuria, cyclic haematuria and non-urinary pain symptoms. To our knowledge, the association of bladder endometriosis with urinary incontinence has not been described. We present the first case of bladder endometriosis that caused urinary symptoms including mixed urinary incontinence (MUI). A 34-year-old nulliparous woman was referred to our urogynaecology clinic with a 18-month history of urgency urinary incontinence (UUI) and stress urinary incontinence (SUI). A diagnosis of bladder endometriosis was performed on the basis of symptoms and imaging. The patient refused surgery and dienogest was prescribed. At the 12-month follow-up, all endometriosis-related symptoms and questionnaire scores had significantly improved, and there was resolution of the abnormal urodynamic findings. In reproductive-aged women suffering pain symptoms, bladder endometriosis should be considered in the differential diagnosis of urinary incontinence and treatment with dienogest may lead to improvement of both urinary and pain symptoms.