Caner EDİZ, Muhammed TEMEL, Ferhat ATEŞ, Sedat ÇAKMAK, Hüseyin HAYIT, Serkan AKAN, Suna ŞAHİN EDİZ, Ömer YILMAZ

Tekrarlayan Disürinin Nadir Bir Sebebi; Mesane Yerleşimli Endometriozis; Olgu Sunumu

Primer mesane endometriozisi nadirdir ve sebebi tam olarak bilinememektedir. Bu makalede primer mesane endometriozisi nedeniyle transüretral rezeksiyon uygulanmış 37 yaşındaki bir bayan hastayı sunuyoruz. Hastanın başvuru şikâyetleri 4 aydır menstrüel siklusla ilişkili hematüri, disüri ve pollaküriydi. Kliniğimizde yapılan sistoskopik ve radyolojik değerlendirme sonrasında kitlenin transüretral olarak rezeksiyonuna karar verildi. Operasyonda 23*21 mm’lik solid kitle eksize edildi. Hastanın sistoskopi ile yapılan postoperatif izleminde 6. aya dek nüks izlenmedi.

Anahtar Kelimeler:

Endometriozis, Hematüri, Mesane

A Rare Cause of Recurrent Dysuria; Endometriosis of the bladder; Case Report

Primary bladder endometriosis is rare and the cause is not fully known. In this article, we present a 37-year-old female patient who underwent transurethral resection for primary bladder endometriosis. The patient’s complaints were hematuria, dysuria and pollakuria associated with menstrual cycle for 4 months. After cystoscopic and radiological evaluation in our clinic, transurethral resection of the mass was decided. A 23*21 mm diameter solid bladder mass was excised by transurethral resection. In the postoperative follow-up of the patient by cystoscopy, no recurrence was observed until 6 months.

Keywords:

Endometriosis, Hematuria, Urinary Bladder,

PDF

___

1. Cornilie F, et al. Deeply infiltrating pelvic endomet- riosis: histology and clinical significance. Fertil Steril 1990;53:978—83.
2. Carmen Maccagnano, Federico Pellucchi, Lorenzo Rocc- hini, Massimo Ghezzi, Vincenzo Scattoni, Francesco Mon- torsi, Patrizio Rigatti, Renzo Colombo. Diagnosis and tre- atment of bladder endometriosis: state of the art. Urol Int 2012;89:249-258.
3. Zugor V, Krot D, Rösch WH, Schrott KM, Schott GE, Endometriosis of the ureter and urinary bladder. Urologe.
4. Klein S, D’Hooghe T, Meuleman C, Dirksen C, Dunselman G, Simoens S. What is the societal burden of endometriosis- associated symptoms? a prospective Belgian study. Reprod Biomed Online 2014;28:116-24.
5. Seaman HE, Ballard KD, Wright JT, de Vries CS. Endometriosis and its coexistence with irritable bowel syndrome and pelvic inflammatory disease: findings from a national case- control study--Part 2. BJOG 2008;115:1392-6.
6. Moore J, Copley S, Morris J, Lindsell D, Golding S, Ken- nedy S. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis. Ultrasound Obstet Gynecol 2002;20:630-4.
7. Dallaudière B, Salut C, Hummel V, Pouquet M, Piver P, Ro- uanet JP, Maubon A. MRI atlas of ectopic endometriosis. Diagn Interv Imaging 2013;94:263-80.
8. Krüger K, Gilly L, Niedobitek-Kreuter G, Mpinou L, Ebert AD. Bladder endometriosis: characterization by mag- netic resonance imaging and the value of documenting ureteral involvement. Eur J Obstet Gynecol Reprod Biol 2014;176:39-43.
9. Carmen Maccagnano, Federico Pellucchi, Lorenzo Rocc- hini, Massimo Ghezzi, Vincenzo Scattoni, Francesco Mon- torsi, Patrizio Rigatti, Renzo Colombo. Diagnosis and tre- atment of bladder endometriosis: state of the art. Urol Int 2012;89:249-258.