Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis

Taiwan J Obstet Gynecol. 2018 Feb;57(1):153-156. doi: 10.1016/j.tjog.2017.12.027.

Abstract

Objective: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment.

Case report: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months.

Conclusion: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.

Keywords: Bladder endometriosis; Deep-infiltrating endometriosis; Endometriosis-associated infertility; Gonadotropin-releasing hormone agonist; Robot-assisted partial cystectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Combined Modality Therapy
  • Cystectomy / methods*
  • Endometriosis / complications
  • Endometriosis / therapy*
  • Female
  • Gonadotropin-Releasing Hormone / agonists*
  • Humans
  • Infertility, Female / etiology
  • Infertility, Female / therapy*
  • Laparoscopy / methods
  • Pregnancy
  • Robotic Surgical Procedures / methods
  • Tomography, X-Ray Computed / methods
  • Ultrasonography / methods
  • Urinary Bladder Diseases / pathology
  • Urinary Bladder Diseases / therapy*

Substances

  • Gonadotropin-Releasing Hormone