Bladder Endometriosis

Bladder endometriosis happens when endometrial‑like tissue grows on or into the bladder wall, most often as part of deep infiltrating disease. Symptoms commonly include urinary urgency, frequency, burning, pain with a full bladder or during urination, and sometimes blood in the urine that worsens around periods. UTIs may be suspected repeatedly, yet cultures can be negative. Because symptoms overlap with bladder pain syndrome, careful evaluation helps distinguish endometriosis from conditions like Interstitial Cystitis.

Diagnosis relies on targeted imaging—transvaginal or transabdominal Ultrasound with a filled bladder and pelvic MRI—and occasionally cystoscopy to assess the inside of the bladder. Treatment ranges from anti‑inflammatory and hormonal options that reduce inflammation and pain to surgery when lesions invade the bladder muscle or cause complications. Laparoscopic or robotic partial cystectomy or nodulectomy is planned using detailed imaging and a multidisciplinary approach, as outlined in Surgery and Excision Surgery. Symptom care often pairs medical therapy with pelvic floor strategies from Pelvic Floor PT and individualized guidance from Urinary Symptoms.