The effectiveness of an interdisciplinary approach to the diagnosis and treatment of endometriosis bladder lesions

Introduction. Deep endometriosis (DE) represents the most severe form of the disease, in which not only the reproductive system but also adjacent organs are affected, leading to serious complications. The urinary tract is the second most commonly involved system in deep endometriosis. Objective. To study the clinical and anamnestic features of the course of deep infiltrating endometriosis with involvement of the bladder. Materials & methods. A retrospective analysis was conducted of 114 patients undergoing surgical treatment for deep infiltrative endometriosis from three institutions placed in Ekaterinburg from 2021 to 2024. Patients were divided into two groups according to the presence (group 1, n = 30) or absence (group 2, n = 84) of involvement of the urinary bladder or the vesicouterine pouch. Results. Symptom intensity prompting women to seek medical attention typically emerges from around 30 years of age. The interval between the first consultation for endometriosis-related complaints and the date of surgery was 11.6 [7.0; 37.1] months in group 1 and 13.1 [4.7; 31.5] months in group 2 (p = 0.450). The most frequent presenting symptom was chronic pelvic pain, observed in 66/114 (60.0%) patients overall: 27/30 (90.0%) in group 1 and 39/84 (46.4%) in group 2 (p =