Bladder endometriosis: possibility of treatment by laparoscopy

Genital endometriosis is still an unclear enigma of the female. It occurs in approximately 20% to 35% of all women of reproductive age. The urinary tract is seldom affected. We report on a patient with bladder endometriosis with recurrent heavy pain at menstruation within the framework of 5 similar cases. A combined vaginal and laparoscopic treatment with excision of the lesion reaching into the dome of the bladder and vaginal wall was performed. The bladder opening was sutured in 2 layers. Laparoscopic treatment of bladder endometriosis requires a combined surgical treatment by a gynecologist and urologist or an experienced laparoscopist.