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Bladder Endometriosis

Image including difference between Normal uterus vs Globular adenomyosis uterus

Deep Endometriosis of the Bladder is a relatively uncommon disease that affects the bladder, particularly the Trigone region. It may coexist with other nodular endometriosis growths in areas such as the Pouch of Douglas, bowel (intestines), ureter, and parametrium.

Although rare, abnormal locations outside the pelvis like scar tissue, the umbilicus, and the diaphragm can also be affected.

Some rare instances have been seen of isolated Endometriosis affecting the bladder.

It is important to differentiate Deep Endometriosis of the Bladder from typical endometriosis, as it is characterized by a higher presence of fibrosis and minimal glands and stroma.

Deep Endometriosis of the Bladder can commonly coexist with Ovarian Endometriosis, also known as a chocolate cyst.

Symptoms & Diagnosis of Bladder Endometriosis

Patients with Deep Endometriosis of the bladder may experience unusual symptoms such as pain while urinating or even bleeding during urination. Over time, the pain may persist despite medication.

In cases where the deep Endometriosis is near the ureter, patients may experience hydronephrosis, leading to loin pain due to kidney pressure changes.


The incidence of Deep Endometriosis of the bladder at a young age is gradually increasing, thanks to advancements in diagnostic methods.

High-quality ultrasound technology is especially beneficial in this regard. The examination typically involves a partially filled bladder for optimal results.

Ultrasound remains the best diagnostic method for Deep Endometriosis of the Bladder. However, this process needs to be conducted by a specialized unit proficient in this technique and correct disease mapping.

In our clinic, Dr. Jay Mehta & his colleagues follow a stepwise protocol resulting in 85-90% accuracy in endometriosis mapping, which requires a high level of expertise.

Also, Dr. Jay Mehta is a highly skilled & experienced fertility specialist & one of the best endometriosis specialist in Mumbai.

Treatment Options

Unfortunately, no medical management currently exists for Deep Endometriosis of the bladder. While some professionals may promise a cure, the reality is that due to the limited gland component, deep Endometriosis cannot be remedied with medication.

Temporary pain reduction can be achieved with Dinogest, Leupride, or GnRH Agonist Depot. However, individuals with Bladder Endometriosis should strongly consider a complete endometriosis excision by an expert.

Despite this, many young women in India are often misguided about treatment options and placed on medical management.

Surgery via 3D Laparoscopy is the only available treatment option for patients.

The challenge lies in reducing Adenomyosis and Endometriosis while keeping the tubes intact, requiring the expertise of surgeons. 

If surgery is performed by an expert, it can enhance fertility, allowing patients with normal Fallopian tubes to conceive naturally.

Again, if performed by an expert, laparoscopic surgery significantly reduces the recurrence rate to less than 3%.

In our clinic, with the help of Dr. Jay Mehta & his team operates more than 500 cases of Deep Endometriosis across India annually.

Dr. Jay is a renowned fertility specialist & endometriosis doctor in Mumbai.


Also, we observed some patients have this question in their mind,
which surgery is better – Robotic Surgery OR Laparoscopic Surgery?

Currently, there is no proven benefit of performing Robotic Surgery over Laparoscopic Surgery for Endometriosis, even for deep lesions.

Despite this, 2-4% of patients opt for Robotic Surgery due to perceived safety. However, the literature demonstrates no additional benefits.

Book Your Consultation Today With an Bladder Endometriosis Specialist in India – Dr Jay Mehta

Post Surgery Recurrence

While Deep Endometriosis can be completely removed by the best surgical team, there is a chance of recurrence.

Post-surgery, most patients do not require any form of medical management if complete surgical resolution has been achieved.

At our clinic, Dr. Jay Mehta uses a specialized technique of doing this procedure with associated Radical Excision of the disease as well as complete clearance of the Bladder Endometriosis.

This technique of Dr Jay Mehta has been well documented as a Step by Step approach for treatment for Endometriosis as well as a Masterclass on Bladder Endometriosis. Dr. Jay has posted that video on YouTube.

In conclusion, Deep Endometriosis of the bladder is a complex condition that requires expert attention for diagnosis and treatment. Patients should be aware of their options and make informed decisions about their health care.

Consult with Dr. Jay Mehta, if you need help with any endometriosis treatment in Mumbai.

Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

Dr. Jay Mehta

MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)

4.9

Verified & Most Trusted One

Dr. Jay Mehta is a renowned IVF specialist and fertility-preserving surgeon in Mumbai, India. He is the Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis..

He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc.

To book an appointment, call: +91 - 9920914115 or fill out our contact form

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 Google Reviews

Ankita Katyal

I am incredibly grateful for Dr. Jay's exceptional support throughout my IVF journey. Dr Jay has been like God sent an Angel for us. From our very first meeting, it was clear that Dr. Jay was not only a highly skilled and knowledgeable professional but also someone who genuinely cared about my well-being.

From my first meeting, he was very clear transparent, and straightforward about my protocol, treatment line, and success rate. After two difficult IVF cycles that failed, I was beginning to lose hope.

However, Dr. Jay’s unwavering encouragement and meticulous care helped me stay positive and focused. Thanks to God and of course to his expertise and dedication, WE FINALLY ACHIEVED SUCCESS!!!!!

Krish A

Dr Jay Mehta is the best Fertility doctor. I am glad to have IVF done with Jay sir.

This unit is very ethical and very honest at work. In my previous IVF cycle, I did not have embryos in Chennai. I was here and Dr and team had told me not to worry. I was given end to end transparency about my embryos and I was lucky to become pregnant in the 1st cycle here, though I was told that the success rate will be about 25 to 30%.

IVF space is competitive, but these guys don't do any Ads on Google. And still if you search, Dr Jay is ranked no.1. I was extremely impressed with that and I am happy that I took a call to travel to Mumbai from Chennai.

I am thankful to the entire team for handling my case nicely. And May God shower the team with his choicest blessings.

Forum Shah

I visited 3 years back for my IVF treatment at that time and also got good treatment with Dr. Jay Mehta … the best part is he would tell me straight away whatever the cause and outcome would be.

This time also I came for Endometriosis treatment n within 3-4 days decided to get operated as there was no looking back as I trust him for his treatment. Thank you Dr once again for the right advice 😊

Deepak Jagadale

Dr Jay Mehta and team are simply excellent people and brilliant outcomes in Fertility services. Very very honest and humble doctor.

Thank you for the valuable guidance during the IVF process and the excellent and no hidden costs during IVF procedure. For middle class people it's a big relief.

Avinash Jain

Dr. Jay Mehta is a result-oriented specialist in his field and the best we could ask for, in a Metro city. His line of treatment for IVF is different from other IVF clinics.

The support provided by doctors and staff as well as all other attending doctors is phenomenal. We are very satisfied and will also highly recommend to others the IVF treatment at Shree IVF Clinic Mumbai.

Vijaya Garg

Dr. Jay Mehta is one of the best gynaecologist doctor of our India. I trust him faithfully and would like to recommend each and every one that don't waste time moving here and there to another doctorand .

I m sharing my experience I wasted my time mand oney by moving from one doctor to other and my problem was unsolved I'm thankful to Dr. Priyanka Shukla mam of trident hospital for suggesting Dr. Jay Mehta sir for my treatment . Now I'm pain-free...Thank you Dr. Jay Mehta sir... you are really my Boley baba shiv shsmbu. I m thankful to all the staff members of Shree IVF hospital

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