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Will I need a catheter after bladder endometriosis surgery?

Topic:Deep Disease
Affected areas:bladderpelvicabdominal

Often, yes—at least briefly—but it depends on what we have to do to fully excise the bladder lesion. If endometriosis is only on the bladder surface, some patients can have the catheter removed very soon. If the disease extends into the bladder wall muscle and we perform a full-thickness excision with a bladder repair, a catheter is more commonly used to keep the bladder decompressed and protect healing.


In our practice, catheter planning is part of surgical mapping and informed consent: we review your imaging, expected depth of invasion, and whether nearby structures like the ureters may need additional steps during surgery. We’ll also tell you what removal typically looks like in your situation—sometimes it’s before you go home, and other times it’s after a short period of healing with a simple follow-up plan. If you’re anxious about living with a catheter, reach out to our team—once we understand your exact disease pattern and surgical plan, we can usually give you a much clearer, individualized expectation.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420