Abstract

Primary bladder endometriosis is rare. Most cases are secondary to pelvic surgery, such as cesarean section or hysterectomy. In this article, we present a case of primary bladder endometriosis in a 33 year-old female patient who had undergone partial cystectomy. Hematuria which is not related to menstruel cycle, and pelvic pain were initial complaints of the patient. After a transurethral resection at an external center where the patient received definitive diagnosis, complaints of the patient had stood still post-operatively. We have decided to perform an open partial cystectomy after cystoscopic and radiological re-evaluation of the patient in our clinic. A 20 mm diameter solid mass extending out of the bladder was excised at the operation. No endometriotic lesions were detected in pelvic peritoneum or ovaries. At the follow-up, there were no recurrences both at cystoscopy and computerised tomography for 4 months after the surgery.

Key Words: Endometriosis; Hematuria; Urinary Bladder; Cystectomy.