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Urinary Bladder Endometriosis

Article
Kidney & Bladder Health
Sexual Health
+2
Contributed byKrish Tangella MD, MBAAug 03, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Bladder Endometriosis
  • Endometriosis of the Urinary Bladder
  • Vesical Endometriosis

What is Urinary Bladder Endometriosis? (Definition/Background Information)

  • Urinary Bladder Endometriosis is a rare condition where endometrial-like tissue grows within the urinary bladder, causing symptoms and complications similar to endometriosis in other parts of the body
  • The presence of endometrial tissue in the bladder can lead to inflammation, pain, and urinary problems. Without adequate treatment, certain complications, such as bladder dysfunction and recurrent urinary tract infections, can develop
  • Women in their young to middle adulthood are higher prone to the development of this condition. The risk factors include retrograde menstruation, hormonal imbalances, and a positive family history of endometriosis. The exact cause of Urinary Bladder Endometriosis is not well understood
  • Following a diagnosis, the condition may be treated using pain medications, hormonal therapies, and surgical interventions as needed. The prognosis of women with Urinary Bladder Endometriosis is typically improved following an early recognition of the condition along with adequate treatment

Who gets Urinary Bladder Endometriosis? (Age and Sex Distribution)

  • Urinary Bladder Endometriosis typically affects women of reproductive age, usually between their 30s and 40s. However, it can occur in women of any age who have a history of endometriosis
  • The condition is observed worldwide, and all racial and ethnic groups are generally at risk

What are the Risk Factors for Urinary Bladder Endometriosis? (Predisposing Factors)

Several risk factors can increase the likelihood of developing Urinary Bladder Endometriosis, including:

  • Previous history of endometriosis
  • Retrograde menstruation (flow of menstrual blood backward into the bladder)
  • Genetic predisposition
  • Hormonal imbalances
  • Immune system dysfunction

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Urinary Bladder Endometriosis? (Etiology)

The exact cause of Urinary Bladder Endometriosis is not fully understood.

  • However, it is believed to occur due to the retrograde flow of menstrual blood containing endometrial cells into the bladder
  • These cells then implant and grow within the bladder wall, leading to the development of endometriotic lesions

What are the Signs and Symptoms of Urinary Bladder Endometriosis?

The signs and symptoms of Urinary Bladder Endometriosis may vary from one individual to another, depending on the severity of the condition. These may include:

  • Pelvic pain, often worsened during menstruation
  • Dysuria (painful urination)
  • Urgency and frequency of urination
  • Hematuria (blood in the urine), especially during menstruation
  • Lower abdominal discomfort
  • Painful bladder spasms

How is Urinary Bladder Endometriosis Diagnosed?

The diagnosis of Urinary Bladder Endometriosis may involve the following tests and procedures:

  • Medical history assessment to identify symptoms and risk factors
  • Pelvic examination to check for abnormalities or tenderness
  • Imaging tests, such as ultrasound or MRI scan, to visualize the bladder and detect any abnormalities
  • Cystoscopy, a procedure where a thin tube with a camera is inserted into the bladder to directly visualize the bladder wall and collect tissue samples for biopsy

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Urinary Bladder Endometriosis?

The possible complications of Urinary Bladder Endometriosis include:

  • Recurrent urinary tract infections
  • Bladder wall scarring or fibrosis
  • Urinary retention
  • Bladder dysfunction
  • Reduced quality of life and impact on one’s daily activities

How is Urinary Bladder Endometriosis Treated?

The treatment options for Urinary Bladder Endometriosis include:

  • Pain management: Nonsteroidal anti-inflammatory drugs (NSAIDs) and hormonal contraceptives to alleviate pain and reduce inflammation
  • Hormonal therapy: Progestins, gonadotropin-releasing hormone (GnRH) agonists, or oral contraceptives may be prescribed to suppress the menstrual cycle and reduce the growth of endometrial tissue
  • Surgical intervention: In severe cases or when conservative treatments are ineffective, surgical options such as cystectomy (removal of the affected part of the bladder) or partial cystectomy may be considered

Multidisciplinary approach: Collaborative care involving gynecologists, urologists, and pain management specialists may be necessary to provide comprehensive treatment and management.

How can Urinary Bladder Endometriosis be Prevented?

As the exact cause of Urinary Bladder Endometriosis is unclear, prevention strategies are limited. However, early diagnosis and prompt treatment of endometriosis in other locations may help prevent the progression or spread of the condition to the bladder.

What is the Prognosis of Urinary Bladder Endometriosis? (Outcomes/Resolutions)

  • With appropriate treatment and management, many individuals with Urinary Bladder Endometriosis experience symptom relief and improvement in their quality of life
  • However, it is essential to note that Urinary Bladder Endometriosis is a chronic condition that may require ongoing care and monitoring to address potential recurrence or complications

Additional and Relevant Useful Information for Urinary Bladder Endometriosis:

The following article link will help you understand endometriosis:

https://www.dovemed.com/diseases-conditions/endometriosis/

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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