Introduction

Urinary bladder endometriosis (BE) is a rare but significant condition, which may co-occur with vesicouterine pouch endometriosis (EVUP). Our study examined the outcomes of laparoscopic surgeries for BE and EVUP.

Material and methods

Twenty-nine patients who underwent the laparoscopic treatment in our centre in 2017–2023 were included. The patients were divided into EVUP and BE groups. The data was taken by analysing detailed patients’ history/histories, which was/were taken at admission, follow-up was made 6 months after the surgery and in January 2024. Moreover, the patients filled in questionnaires regarding their pre- and postoperative symptoms using NRS scale.

Results

Patients with BE (n = 10) presented with symptoms of the following median intensity before vs. after surgery: dysmenorrhoea (5.5 IQR 0–10 vs. 0 IQR 0–2; p = 0.028), intermenstrual/intramenstrual pain (1 IQR 0–10 vs. 0 IQR 0–2; p = 0.043), dysuria (9 IQR 2–10 vs. 0 IQR 0–2; p = 0.005), dyschezia (0 IQR 0–9 vs. 0 IQR 0–0), and dyspareunia (0 IQR 0–8 vs. 0 IQR 0–2). Patients with EVUP (n = 8) presented with the following symptoms: dysmenorrhoea (8 IQR 4–10 vs. 0.5 IQR 0–6; p = 0.012), intermenstrual/intramenstrual pain (5 IQR 3–8 vs. 0 IQR 0–3; p = 0.012), dysuria (0 IQR 0–6 vs. 0 IQR 0–0), dyschezia (1.5 IQR 0–10 vs. 0 IQR 0–8), and dyspareunia (0.5 IQR 0–10 vs. 0 IQR 0–5).

Conclusions

Despite similar lesion locations, BE and EVUP symptoms differed significantly. Nevertheless, laparoscopic surgery was an effective treatment for both conditions.