Urinary Tract Endometriosis: Surgical Perspective

Urinary tract endometriosis is debilitating disease affecting young woman of reproductive age. Deterioration or loss of renal function can occur if early diagnosis and treatment is not done. We present a case of endometriosis involving urinary tract in a 36 years old woman. She presented with abdominal pain, dysuria and was found to have urinary bladder mass involving left ureteric orifice on ultrasound and CT scan of abdomen causing obstructive uropathy. Cystoscopy was planned in a view to get intravesical view and tissue diagnosis. Cystoscopy confirmed presence of broad based, exophytic, vascular mass involving left half of the trigone of urinary bladder. Biopsy of the mass was suggestive of endometriosis. Open partial cystectomy, left ureteroneocystostomy with hysterectomy was performed in order to save renal function and prevent further recurrence.