Design: Not applicable.
Setting: Patient was placed in lithotomy position.
Patients or Participants: This is the case of 31 year old G1P1 with deep infiltrating endometriosis of the bladder. She presented with bladder spasms, dysuria, and urinary frequency that worsened during her menses.
Interventions: This video demonstrates robotic assisted partial cystectomy for deep infiltrating endometriosis of the bladder. First, the bladder was mobilized and entered at the dome to avoid injury to the trigone. The bladder endometriotic nodule was dissected circumferentially and the bladder was closed in two layers using 3-0 V-Loc. A bladder leak test was performed at the conclusion of the procedure.
Measurements and Main Results: Not applicable.
Conclusion: Bladder endometriosis should be on the differential for patients presenting with cyclic pelvic pain and urinary symptoms. Medical management is a reasonable first step; but surgical management with partial cystectomy may be warranted for deep endometrial bladder implants.
Gorniak, A*1, Leaf, MC2, Gabrielson, A3, Patel, SH3, Frost, A2. 1Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD; 2Gynecology and Obstetrics, Division of Minimally Invasive Gynecologic Surgery, Johns Hopkins Hospital, Baltimore, MD; 3Urology, Johns Hopkins Hospital, Baltimore, MD
