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Bladder endometriosis: symptoms and pregnancy outcomes.
Yan, Hailan; Li, Xiaoyan; Dai, Yi; Shi, Jinghua; Wu, Yushi; Gu, Zhiyue; Zhang, Chenyu; Li, Qiutong; Zhang, Biyun; Lv, Shiqing; Leng, Jinhua.
Afiliación
  • Yan H; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Li X; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Dai Y; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Shi J; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Wu Y; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Gu Z; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Zhang C; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Li Q; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Zhang B; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Lv S; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730.
  • Leng J; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China, 100730; National Clinical Research Center for Obstetric & Gynecologic Diseases, Beijing, China, 100730. Electronic address: leng
J Minim Invasive Gynecol ; 2024 Sep 11.
Article en En | MEDLINE | ID: mdl-39270975
ABSTRACT

OBJECTIVE:

To investigate the clinical features of bladder endometriosis and factors associated with urinary symptoms, pregnancy outcomes, and long-term effects of symptom relief and recurrence.

DESIGN:

A single-center retrospective cohort study.

SETTING:

A tertiary referral hospital.

PARTICIPANTS:

Forty-seven patients who were surgically confirmed to have bladder endometriosis at Peking Union Medical College Hospital between January 2012 and December 2023 were included in this study.

INTERVENTIONS:

A retrospective study of the clinical and pathological features and reproductive outcomes in patients with bladder endometriosis. MEASUREMENTS AND MAIN

RESULTS:

Among 47 patients with bladder endometriosis, 27 (57.4%) presented with urinary symptoms, including urinary frequency, urgency, dysuria, and hematuria. Patients with urinary symptoms were more likely to have previous cesarean sections (odds ratio [OR] 4.5, 95% confidence interval [CI] 1.1-19.2, p=0.032) and experience dysmenorrhea compared to those without (p=0.008, OR 5.3, 95%CI 1.5-18.8). Anterior compartment obliteration was another factor associated with urinary symptoms (OR 7.2, 95%CI 1.3-40.4, p=0.016). Bladder lesions located within 1 cm of the ureteral orifice (OR 7.2, 95%CI 1.3-40.4, p=0.020) and the deeper invasive layer of lesions (mucosal layer, OR 6.1, 95%CI 1.4-25.8, p=0.009) were also found to be associated with symptoms. Regarding reproductive outcomes, 12 patients desired to conceive. Of the patients who desired pregnancy, 66.7% achieved pregnancy; 5 spontaneously and 3 after IVF treatment. The miscarriage rate among patients with bladder endometriosis was 25.0% in the age range of 27-40 years. Additionally, all patients experienced symptom relief after one year of follow-up. Only two patients experienced bladder endometriosis recurrence.

CONCLUSIONS:

Previous cesarean section, dysmenorrhea, anterior compartment obliteration, lesion in the trigone, and mucosal layer invasion were identified as factors associated with urinary symptoms. Although some patients conceived successfully after surgery, disentangling the independent effect of bladder endometriosis on fertility remains challenging.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Minim Invasive Gynecol Asunto de la revista: GINECOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Minim Invasive Gynecol Asunto de la revista: GINECOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos