Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis

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2 Citations (Scopus)

Abstract

Objective: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment. Case report: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months. Conclusion: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.

Original languageEnglish
JournalTaiwanese Journal of Obstetrics and Gynecology
DOIs
Publication statusAccepted/In press - Jan 1 2018

Fingerprint

Cystectomy
Endometriosis
Gonadotropin-Releasing Hormone
Urinary Bladder
Pregnancy
Infertility
Medical Assistance
losigame
Therapeutics
Dysmenorrhea
Cystoscopy
Urinary Bladder Neoplasms

Keywords

  • Bladder endometriosis
  • Deep-infiltrating endometriosis
  • Endometriosis-associated infertility
  • Gonadotropin-releasing hormone agonist
  • Robot-assisted partial cystectomy

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

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title = "Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis",
abstract = "Objective: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment. Case report: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months. Conclusion: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.",
keywords = "Bladder endometriosis, Deep-infiltrating endometriosis, Endometriosis-associated infertility, Gonadotropin-releasing hormone agonist, Robot-assisted partial cystectomy",
author = "Tan, {Shun Jen} and Chen, {Chi Huang} and Yeh, {Shauh Der} and Lin, {Yun Ho} and Tzeng, {Chii Ruey}",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.tjog.2017.12.027",
language = "English",
journal = "Taiwanese Journal of Obstetrics and Gynecology",
issn = "1028-4559",
publisher = "臺灣婦產科醫學會",

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T1 - Pregnancy following robot-assisted laparoscopic partial cystectomy and gonadotropin-releasing hormone agonist treatment within three months in an infertile woman with bladder endometriosis

AU - Tan, Shun Jen

AU - Chen, Chi Huang

AU - Yeh, Shauh Der

AU - Lin, Yun Ho

AU - Tzeng, Chii Ruey

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment. Case report: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months. Conclusion: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.

AB - Objective: To report an infertility case of deep-infiltrating bladder endometriosis conceiving following robot-assisted surgery and modified gonadotropin-releasing hormone agonist (GnRHa) treatment. Case report: A 33 year-old infertile female presenting with dysmenorrhea was found to have a bladder mass by pelvic ultrasound. Cystoscopy revealed a protruding tumor from the posterior bladder wall, and endometriosis was highly suspected. Robot-assisted laparoscopic partial cystectomy was performed for the deep-infiltrating bladder endometriosis. With postoperative half-dose GnRHa treatment and timed intercourse, she got pregnant within 3 months. Conclusion: Robot-assisted complete resection of deep-infiltrating endometriosis and bladder repair immediately followed by GnRHa therapy and medical assistance improves reproductive outcomes efficiently in women with endometriosis-associated infertility.

KW - Bladder endometriosis

KW - Deep-infiltrating endometriosis

KW - Endometriosis-associated infertility

KW - Gonadotropin-releasing hormone agonist

KW - Robot-assisted partial cystectomy

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