Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Endometriosis · Bladder
Bladder Endometriosis
Bladder involvement is the most common urinary tract location for endometriosis (1-2 percent of cases). Cyclical urinary symptoms in a young woman warrant evaluation for bladder endometriosis.
Symptoms
How it presents
Cyclical urinary frequency or urgency, dysuria, suprapubic pain, sometimes haematuria – all typically worse around menstruation. Sometimes mistaken for recurrent urinary tract infections in patients with negative urine cultures.
Diagnosis
Imaging and cystoscopy
Transvaginal ultrasound often shows bladder wall thickening or nodule. MRI provides additional detail. Cystoscopy directly visualises bladder lesions, with biopsy confirming diagnosis.
Treatment
Medical and surgical
Medical management with hormonal suppression for mild cases. Surgical excision of bladder wall nodule (partial cystectomy) for symptomatic full-thickness disease. Multidisciplinary input with urology for ureter involvement.
Common questions
Frequently asked
Is recurrent UTI actually bladder endometriosis?
In women with cyclical urinary symptoms and negative urine cultures, yes – this is worth considering. Standard UTI workup misses endometriosis.
Will bladder surgery affect urinary function?
Properly performed partial cystectomy preserves bladder function. Detrusor muscle repair maintains capacity and continence.
Can bladder endometriosis cause cancer?
Malignant transformation is rare but reported. Persistent unexplained bladder lesions warrant biopsy for diagnosis.
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Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
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