Clinical Manifestation and Diagnosis of Endometriosis Involving the Bladder

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Introduction. Endometriosis is a chronic pathological process characterized by the presence of an endometrium-like epithelium and/or stroma outside the uterine cavity. Endometriosis or endometrioid disease occupies the third position in the structure of gynecological morbidity and is a serious medical and social problem. The urinary system occupies the second position in terms of the frequency of involvement in endometriodic infiltration. The purpose of the work is to systematize information on the clinical course and diagnosis of deep infiltrative endometriosis involving the bladder based on domestic and foreign publications. Materials and methods. Literary search and analysis of scientific publications in Russian and English by keywords “endometriosis”, “deep infiltrative endometriosis”, “urinary tract endometriosis”, “bladder endometriosis”, “symptoms of the lower urinary tract”, as well as “deep infiltrating endometriosis of urinary tract”, “diagnosis of bladder endometriosis”, “urinary dysfunction”. Selection criteria for publications: original articles (randomized and non-randomized clinical trials), reviews (meta-analyses and systematic reviews) relevant to the topic under consideration. Results and discussion. The literature review presents data on the symptoms of urinary disorders, urological pain syndrome/interstitial cystitis; clinical picture; diagnosis of endometriosis of the bladder. Conclusion. Endometriosis is a complex interdisciplinary problem that requires the joint constructive work of a gynecologist, urologist and surgeon to diagnose, treat and manage it. It is necessary to focus the attention of urologists on the problem of deep infiltrative endometriosis, which can lead to the development of neurogenic detrusor dysfunction and imitation of interstitial cystitis.

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