Efficacy of Laparoscopic Partial Cystectomy with a Transurethral Resectoscope in Patients with Bladder Endometriosis: See-Through Technique.
Bladder endometriosis
Laparoscopic partial cystectomy
Urinary tract endometriosis
Journal
Urologia internationalis
ISSN: 1423-0399
Titre abrégé: Urol Int
Pays: Switzerland
ID NLM: 0417373
Informations de publication
Date de publication:
2020
2020
Historique:
received:
03
06
2019
accepted:
30
09
2019
pubmed:
20
3
2020
medline:
23
4
2021
entrez:
20
3
2020
Statut:
ppublish
Résumé
Bladder endometriosis (BE) is rare. Deep invasive endometriosis is difficult to control with medications alone; such cases need surgical treatment. Good results of laparoscopic partial cystectomy with a transurethral (TU) resectoscope by the see-through technique for patients with BE are reported. From January 2008 to February 2016, 12 cases of symptomatic BE were seen in our institution. The chief complaints of 9 cases were micturition pain during menstruation. Preoperative cystoscopy showed a bladder mass with blueberry spots. All surgeries were performed under general anesthesia. Laparoscopic surgery was performed with a fan of 4 ports in the lower abdomen. First, the uterus and bilateral ovaries were checked. Then, the TU resectoscope was inserted. When the affected bladder wall was identified, it was again observed with the laparoscopic light source off, which made it possible to observe the twilight leaking inside from the bladder. This twilight came from the light source of the TU resectoscope via the unaffected bladder wall. In contrast, the thickness of the affected wall prevented the light from inside the bladder from passing through it. We call this the "see-through technique." The tumor was then safely dissected with both laparoscopic and TU resection procedures. Finally, the bladder was sutured by laparoscopic procedures using absorbable sterile surgical suture. The urethral catheter was removed after cystography 7 days after the operation. The surgical margins of all cases were negative. There has been no recurrence of BE so far in any patients. There were no major adverse events perioperatively and the urinary symptoms improved in all cases. By laparoscopic partial cystectomy assisted with a TU resectoscope and see-through technique, the edge of BE could be easily and precisely identified. These procedures are effective and safe for BE surgical treatment.
Identifiants
pubmed: 32191941
pii: 000503795
doi: 10.1159/000503795
pmc: PMC7592933
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
546-550Informations de copyright
© 2020 The Author(s) Published by S. Karger AG, Basel.
Références
Urol Int. 2008;80(2):222-4
pubmed: 18362498
Urol J. 2015 Sep 04;12(4):2213-7
pubmed: 26341760
Eur J Radiol. 2012 Jun;81(6):1381-7
pubmed: 21497034
Hum Reprod. 2003 Jan;18(1):157-61
pubmed: 12525459
Gynecol Obstet Invest. 2002;54 Suppl 1:52-8; discussion 59-62
pubmed: 12441661
Fertil Steril. 2002 Oct;78(4):872-5
pubmed: 12372471
Urol Int. 2012;89(3):249-58
pubmed: 22813980
J Minim Invasive Gynecol. 2007 Sep-Oct;14(5):628-32
pubmed: 17848326
J Endourol. 2002 Nov;16(9):663-6
pubmed: 12490020
Br J Obstet Gynaecol. 1997 Dec;104(12):1329-31
pubmed: 9422007
Fertil Steril. 2007 Jun;87(6):1287-90
pubmed: 17336966
N Engl J Med. 2009 Jan 15;360(3):268-79
pubmed: 19144942
Fertil Steril. 2002 Oct;78(4):719-26
pubmed: 12372446
Acta Obstet Gynecol Scand. 1999 Nov;78(10):887-90
pubmed: 10577619
Urology. 2009 Jan;73(1):47-51
pubmed: 18950841
Surg Endosc. 2015 Aug;29(8):2456-61
pubmed: 25277479