Bladder endometriosis is due by the infiltration of the bladder wall through the peritoneum and the connective tissue of the vesico- uterine space.

For this reason is not correct to treat this pathology only with a resection via cystoscopy.

Sometimes is concurrently present an adenomyosis of the anterior wall of the uterus.

The steps for a correct surgery of this pathology are:

  • Dissection of the vesico-uterine space. 
  • Opening the bladder just above the endometriotic nodule.
  • Complete resection of the nodule.
  • Suturing the bladder in two layers with running sutures.
  • Remove all the endometriotic and adenomyotic tissue on the anterior wall of the uterus.