The outcomes of laparoscopic surgeries for urinary bladder and vesicouterine pouch endometriosis in the Polish population

Krzysztof Szyłło; Tomasz Szaflik; Filip Gągorowski; Kacper Pawlak; Martyna Masternak; Filip Franciszek Karuga

doi:10.5114/pm.2025.157949

eISSN: 2299-0038
ISSN: 1643-8876

Menopause Review/Przegląd Menopauzalny

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abstract:

Original paper

The outcomes of laparoscopic surgeries for urinary bladder and vesicouterine pouch endometriosis in the Polish population

Krzysztof Szyłło

¹

,

Tomasz Szaflik

¹

,

Filip Gągorowski

^{2, 3}

,

Kacper Pawlak

^{2, 3}

,

Martyna Masternak

¹

,

Filip Franciszek Karuga

^{1, 4}

Department of Gynaecology, Oncological Gynaecology and Treatment of Endometriosis, Polish Mother’s Memorial Hospital Research Institute, Lodz, Poland
Faculty of Medicine, Medical University of Lodz, Lodz, Poland
Student Scientific Association of Oncological Gynecology and Endometriosis Polish Mother's Memorial Hospital – Research Institute, Lodz, Poland
Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, Lodz, Poland

Menopause Rev 2025; 24(4)

DOI: https://doi.org/10.5114/pm.2025.157949

Online publish date: 2025/12/19

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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.

keywords:

The outcomes of laparoscopic surgeries for urinary bladder and vesicouterine pouch endometriosis in the Polish population

Krzysztof Szyłło 1 , Tomasz Szaflik 1 , Filip Gągorowski 2, 3 , Kacper Pawlak 2, 3 , Martyna Masternak 1 , Filip Franciszek Karuga 1, 4

laparoscopy, endometriosis, gynaecology, pain assessment, urinary bladder

Krzysztof Szyłło

¹

,

Tomasz Szaflik

¹

,

Filip Gągorowski

^{2, 3}

,

Kacper Pawlak

^{2, 3}

,

Martyna Masternak

¹

,

Filip Franciszek Karuga

^{1, 4}