| Autor: |
Alzamora Schmatz, MC, Ahmed, NT, Sobota, R, Brunn, E |
| Zdroj: |
Journal of Minimally Invasive Gynecology; 2024 Supplement, Vol. 31 Issue 11, pS25-S25, 1p |
| Abstrakt: |
To describe the presentation, diagnostic approach and management of urinary tract endometriosis, to illustrate surgical technique for bladder endometriosis excision and intraoperative "tricks" for adequate dissection, and to highlight postoperative considerations. Video presentation of a case. Hospital Operating Room. 35-yo-G0 with endometriosis and overactive bladder who presented to the office reporting dysmenorrhea, severe urgency and dysuria during menstrual cycles, as well as dyspareunia. Robotic excision of endometriosis and cystoscopy with placement of ureteral catheters and ICG dye instillation. Cystoscopy was performed initially for placement of ureteral catheters, ICG dye instillation and delineation of bladder endometriosis lesion. After robotic excision of pelvic endometriosis was completed, the bladder endometriosis nodule was excised in its entirety via partial cystectomy. The cystotomy was then closed in 2 layers. Preoperative ureteral catheterization and ICG dye instillation allows for safe dissection and precise excision of bladder endometriosis while minimizing risk ureteral of ureteral injury. Concomitant cystoscopy is useful to delineate margins of excision of bladder lesions. Mobilization of the bladder allows for better exposure and access to the plane of excision, and bladder closure can be performed in single or multiple layers to allow for restoration of anatomy and function. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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