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Table of Contents
Vol. 79, No. 1, 2007
Issue release date: July 2007
Section title: Case Report
Urol Int 2007;79:86–89
(DOI:10.1159/000102921)

Symptomatic Bladder Endocervicosis: Does It Need Surgery?

A Case Report and Review of the Literature

Joseph B. · Kumar M. · de Bolla A.R.
Department of Urology, Wrexham Maelor Hospital, Wrexham, UK

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: 9/20/2005
Accepted: 6/23/2006
Published online: 7/12/2007

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: http://www.karger.com/UIN

Abstract

Endocervicosis of the urinary bladder is a rare benign condition exclusively seen in women, usually of reproductive age. To the best of our knowledge there are only about twenty cases reported so far. It causes non-specific symptoms and is seen as a submucosal lesion on cystoscopy. On histological examination one finds endocervical glands embedded deep within the muscle layers. It can be confused with an adenocarcinoma of the bladder. Unless the correct diagnosis is made these patients can undergo potentially debilitating surgery. As demonstrated in our patient even symptomatic endocervicosis can be managed conservatively.


Article / Publication Details

First-Page Preview
Abstract of Case Report

Received: 9/20/2005
Accepted: 6/23/2006
Published online: 7/12/2007

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: http://www.karger.com/UIN


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Steele AA, Byrne AJ: Paramesonephric (müllerian) sinus of urinary bladder. Am J Surg Pathol 1982;6:173–176.
  2. Clement PB, Young RH: Endovervicosis of the urinary bladder: a report of six cases of a benign müllerian lesion that may mimic adenocarcinoma. Am J Surg Pathol 1992;16:533–542.
  3. Martinka M, Allaire C, Clement PB: Endocervicosis presenting as a painful vaginal mass: a case report. Int J Gynaecol Pathol 1999;18:274–276.
  4. Ruffolo R, Suster S: Diffuse histiocytic proliferation mimicking mesothelial hyperplasia in endocervicosis of the female pelvic peritoneum. Int J Surg Pathol 1993;1:101–106.

    External Resources

  5. Nazeer T, Ro JY, Tornos C, Ordonez NG, Ayala AG: Endocervical type glands in urinary bladder: a clinicopathologic study of six cases. Hum Pathol 1996;27:816–820.
  6. Julie C, Boye K, Desgrippes A, et al: Endocervicosis of the urinary bladder. Immunohistochemical comparative study between a new case and normal uterine endocervices. Pathol Res Pract 2002;198:115–120.
  7. Schubert GE, Pavkovic MB, Belthke-Bedurftig BA: Tubular urachal remnants in adult bladders. J Urol 1982;127:40–42.
  8. Kim HJ, Lee TJ, Kim MK, Choi YH, Myung SC, Kim YS, Song KY: Muellerianosis of urinary bladder, endocervicosis type: a case report. J Korean Med Sci 2001;16:123–126.
  9. McCluggage WG, Price JH, Dobbs SP: Primary adenocarcinoma of the vagina arising in endocervicosis. Int J Gynecol Pathol 2001;20:399–402.
  10. Julie C, Boye K, Desgrippes A, Regnier A, Staroz F, Fontaine E, Franc B: Endocervicosis of the urinary bladder: immunohistochemical comparative study between a new case and normal uterine endocervices. Pathol Res Pract 2002;198:115–120.