Asymptomatic rectal and bladder endometriosis: a case for robotic-assisted surgery.

摘要: OBJECTIVES To evaluate the feasibility and safety of robot-assisted laparoscopic partial cystectomy for treatment rectal bladder endometriosis. MATERIALS AND METHODS A 23 year-old female with history infertility pelvic pain was found to have a 4 cm mass nodule on ultrasonography. Patient denied any other genitourinary symptoms. Cystoscopy biopsy revealed After failure suppressive hormonal medical therapy resection lesion performed robotic assistance (da Vinci). The procedure included excision an ovarian cyst several peritoneal endometrioid implants. RESULTS Robotic-assisted Vinci) concomitant endometrial nodules from rectum in 185 min. excised primary closure performed. had uneventful postoperative course hospital stay. Oral intake started day 1 follow-up imaging no extravasation or fistula formation. patient became pregnant 2 years later "in vitro" fertilization procedure. CONCLUSIONS endometriosis can be safely