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  • Title: [Vesical endometriosis after cesarean section: diagnostico-therapeutic aspects].
    Author: García González JI, Extramiana Cameno J, Esteban Calvo JM, Díez Rodríguez JM, Esteban Artiaga R, Arrizabalaga Moreno M, Paniagua Andrés P.
    Journal: Actas Urol Esp; 1997 Sep; 21(8):785-8. PubMed ID: 9412231.
    Abstract:
    Endometriosis is a benign condition with an aggressive behaviour defined by the presence of ectopic endometrial tissue, outside the uterus. It occurs in 15-20% women with child bearing potential. Most commonly it affects organs such as the ovaries, uterine ligaments, fallopian tubes, rectum and the cervico-vaginal region. Involvement of the urinary tract, however, is rare. It can be seen in just about 1% cases, vesical location being the most frequent of these presentations (84% cases). We describe one case of vesical endometriosis that developed after a cesarean section. The intra-operative findings confirmed the existence of infiltration of the detrusor muscle and the vesical mucosa by endometrial tissue from the area of the uterine incision. A discussion of the different diagnostic and therapeutic options is also included.
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