The pathogenesis of bladder detrusor endometriosis

Paolo Vercellini, Giada Frontino, Anna Pisacreta, Olga De Giorgi, Marco Cattaneo, Pier Giorgio Crosignani

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study was to ascertain whether bladder detrusor endometriosis originates intraperitoneally in the vesicouterine pouch or subperitoneally in the vesicovaginal septum and whether an association exists with uterine adenomyosis. STUDY DESIGN: Data were collected on clinical, diagnostic, and surgical characteristics of 40 women who were evaluated for primary, histologically confirmed, full-thickness detrusor endometriosis. RESULTS: In 19 of the 20 women who underwent surgery, the anterouterine pouch was partially or totally obliterated with the nodule that was located in the posterior wall or dome of the bladder, well above the uterine isthmus, and adherent to the anterior uterine wall or fundus. With one exception, pelvic ultrasonography, cystoscopy, intravenous pyelography, magnetic resonance imaging, and computed tomography identified the lesion cranially with respect to the vesicovaginal septum and excluded uterine adenomyosis. CONCLUSION: Vesical endometriosis seems to originate from the implantation of regurgitated endometrial cells in the anterior cul-de-sac and not to be associated with uterine adenomyosis. The metaplasia of subperitoneal mullerian remnants and the uterus-vesical adenomyosis extension theories are not compatible with most imaging, surgical, and pathologic findings.

Original languageEnglish
Pages (from-to)538-542
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume187
Issue number3
DOIs
Publication statusPublished - Sep 2002

Fingerprint

Adenomyosis
Endometriosis
Urinary Bladder
Cystoscopy
Urography
Metaplasia
Uterus
Ultrasonography
Tomography
Magnetic Resonance Imaging

Keywords

  • Adenomyosis
  • Bladder
  • Endometriosis

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology

Cite this

Vercellini, P., Frontino, G., Pisacreta, A., De Giorgi, O., Cattaneo, M., & Crosignani, P. G. (2002). The pathogenesis of bladder detrusor endometriosis. American Journal of Obstetrics and Gynecology, 187(3), 538-542. https://doi.org/10.1067/mob.2002.124286

The pathogenesis of bladder detrusor endometriosis. / Vercellini, Paolo; Frontino, Giada; Pisacreta, Anna; De Giorgi, Olga; Cattaneo, Marco; Crosignani, Pier Giorgio.

In: American Journal of Obstetrics and Gynecology, Vol. 187, No. 3, 09.2002, p. 538-542.

Research output: Contribution to journalArticle

Vercellini, P, Frontino, G, Pisacreta, A, De Giorgi, O, Cattaneo, M & Crosignani, PG 2002, 'The pathogenesis of bladder detrusor endometriosis', American Journal of Obstetrics and Gynecology, vol. 187, no. 3, pp. 538-542. https://doi.org/10.1067/mob.2002.124286
Vercellini, Paolo ; Frontino, Giada ; Pisacreta, Anna ; De Giorgi, Olga ; Cattaneo, Marco ; Crosignani, Pier Giorgio. / The pathogenesis of bladder detrusor endometriosis. In: American Journal of Obstetrics and Gynecology. 2002 ; Vol. 187, No. 3. pp. 538-542.
@article{ba2d077ae54d4d2ea5bfd704af335ef1,
title = "The pathogenesis of bladder detrusor endometriosis",
abstract = "OBJECTIVE: The purpose of this study was to ascertain whether bladder detrusor endometriosis originates intraperitoneally in the vesicouterine pouch or subperitoneally in the vesicovaginal septum and whether an association exists with uterine adenomyosis. STUDY DESIGN: Data were collected on clinical, diagnostic, and surgical characteristics of 40 women who were evaluated for primary, histologically confirmed, full-thickness detrusor endometriosis. RESULTS: In 19 of the 20 women who underwent surgery, the anterouterine pouch was partially or totally obliterated with the nodule that was located in the posterior wall or dome of the bladder, well above the uterine isthmus, and adherent to the anterior uterine wall or fundus. With one exception, pelvic ultrasonography, cystoscopy, intravenous pyelography, magnetic resonance imaging, and computed tomography identified the lesion cranially with respect to the vesicovaginal septum and excluded uterine adenomyosis. CONCLUSION: Vesical endometriosis seems to originate from the implantation of regurgitated endometrial cells in the anterior cul-de-sac and not to be associated with uterine adenomyosis. The metaplasia of subperitoneal mullerian remnants and the uterus-vesical adenomyosis extension theories are not compatible with most imaging, surgical, and pathologic findings.",
keywords = "Adenomyosis, Bladder, Endometriosis",
author = "Paolo Vercellini and Giada Frontino and Anna Pisacreta and {De Giorgi}, Olga and Marco Cattaneo and Crosignani, {Pier Giorgio}",
year = "2002",
month = "9",
doi = "10.1067/mob.2002.124286",
language = "English",
volume = "187",
pages = "538--542",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - The pathogenesis of bladder detrusor endometriosis

AU - Vercellini, Paolo

AU - Frontino, Giada

AU - Pisacreta, Anna

AU - De Giorgi, Olga

AU - Cattaneo, Marco

AU - Crosignani, Pier Giorgio

PY - 2002/9

Y1 - 2002/9

N2 - OBJECTIVE: The purpose of this study was to ascertain whether bladder detrusor endometriosis originates intraperitoneally in the vesicouterine pouch or subperitoneally in the vesicovaginal septum and whether an association exists with uterine adenomyosis. STUDY DESIGN: Data were collected on clinical, diagnostic, and surgical characteristics of 40 women who were evaluated for primary, histologically confirmed, full-thickness detrusor endometriosis. RESULTS: In 19 of the 20 women who underwent surgery, the anterouterine pouch was partially or totally obliterated with the nodule that was located in the posterior wall or dome of the bladder, well above the uterine isthmus, and adherent to the anterior uterine wall or fundus. With one exception, pelvic ultrasonography, cystoscopy, intravenous pyelography, magnetic resonance imaging, and computed tomography identified the lesion cranially with respect to the vesicovaginal septum and excluded uterine adenomyosis. CONCLUSION: Vesical endometriosis seems to originate from the implantation of regurgitated endometrial cells in the anterior cul-de-sac and not to be associated with uterine adenomyosis. The metaplasia of subperitoneal mullerian remnants and the uterus-vesical adenomyosis extension theories are not compatible with most imaging, surgical, and pathologic findings.

AB - OBJECTIVE: The purpose of this study was to ascertain whether bladder detrusor endometriosis originates intraperitoneally in the vesicouterine pouch or subperitoneally in the vesicovaginal septum and whether an association exists with uterine adenomyosis. STUDY DESIGN: Data were collected on clinical, diagnostic, and surgical characteristics of 40 women who were evaluated for primary, histologically confirmed, full-thickness detrusor endometriosis. RESULTS: In 19 of the 20 women who underwent surgery, the anterouterine pouch was partially or totally obliterated with the nodule that was located in the posterior wall or dome of the bladder, well above the uterine isthmus, and adherent to the anterior uterine wall or fundus. With one exception, pelvic ultrasonography, cystoscopy, intravenous pyelography, magnetic resonance imaging, and computed tomography identified the lesion cranially with respect to the vesicovaginal septum and excluded uterine adenomyosis. CONCLUSION: Vesical endometriosis seems to originate from the implantation of regurgitated endometrial cells in the anterior cul-de-sac and not to be associated with uterine adenomyosis. The metaplasia of subperitoneal mullerian remnants and the uterus-vesical adenomyosis extension theories are not compatible with most imaging, surgical, and pathologic findings.

KW - Adenomyosis

KW - Bladder

KW - Endometriosis

UR - http://www.scopus.com/inward/record.url?scp=0036737744&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036737744&partnerID=8YFLogxK

U2 - 10.1067/mob.2002.124286

DO - 10.1067/mob.2002.124286

M3 - Article

C2 - 12237623

AN - SCOPUS:0036737744

VL - 187

SP - 538

EP - 542

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 3

ER -