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.
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.
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.
Dr Patel assesses bladder endometriosis with imaging-led mapping and cystoscopy where needed, and performs bladder-sparing excision within a multidisciplinary team when surgery is indicated.
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Frequently asked
Imaging-led diagnosis and bladder-sparing surgery, planned within a multidisciplinary team.
Bladder endometriosis — recognising and confirming it
Endometriosis can involve the bladder and urinary tract, causing symptoms that are easily mistaken for recurrent cystitis: pain on filling or passing urine, urinary frequency or urgency, and sometimes blood in the urine that characteristically tracks with the menstrual cycle. Recognising this cyclical pattern is often the diagnostic clue.
Why it is missed
Women are frequently treated repeatedly for “urine infections” that culture negative, while the underlying endometriosis goes unaddressed for years. A high index of suspicion, particularly when symptoms are cyclical, is what shortens that delay.
Confirming the diagnosis
Assessment combines a careful history, specialist transvaginal ultrasound (which in experienced hands can map bladder and deep disease), MRI where needed, and cystoscopy in selected cases. Accurate mapping before any surgery is essential.
How it is managed
Options range from hormonal medical management to control symptoms, through to precise surgical excision when disease is deep or fertility and symptom goals require it. Bladder surgery is specialised work that should be planned carefully and undertaken only when clearly indicated, with the bladder’s long-term function protected.
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.
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
