Endometriosis of the Bladder

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A REVIEW of the literature reveals 68 cases of endometriosis of the urinary bladder. It is difficult to estimate the incidence of this lesion, since in the past cystoscopic inspection of the bladder has not been routinely employed in the presence of pelvic endometriosis.

Masson1 in a review of the records of 576 patients in whom diagnoses of endometriosis had been established cited two instances in which vesical lesions were demonstrable; while Seitz2 reported three patients with bladder involvement in 65 cases of pelvic endometriosis.

In a series of 530 consecutive cases of pelvic endometriosis observed at the Clinic, vesical lesions were present in three; a fourth instance, not as yet confirmed by biopsy, is not included. In reports reviewed in the literature, it is not stated whether cystoscopy was a routine procedure or employed only when symptoms deemed it advisable. In this series of 530 cases, cystoscopic examinations were performed only in patients with symptoms referable to the bladder. It is our purpose to report these three cases of vesical endometriosis and comment briefly on current therapeutic trends.


Case 1. A woman, 43 years of age, Para I, gravida I, entered the Clinic in June 1952 with complaints of urgency, frequency, dysuria, and occasional severe pain following micturition. The symptoms had been observed for 15 years, beginning on the second or third day of each menstrual period and abating in approximately one week. Terminal hematuria had been noted on one occasion in May 1952, a month before. . .



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