Endometriosis of the urinary bladder

Laparoscopic “shaving” of the walls of urinary bladder in case of infiltrative endometriosis

Laparoscopic “shaving” of the walls of urinary bladder in case of infiltrative endometriosis.
Professor Puchkov K.V. is performing an operation (2017).

A patient is operated on for infiltrative endometriosis, invading the walls of urinary bladder. MRT images have shown it. During cystoscopy they have not found out the involvement of mucous membrane. The film demonstrates the technique of exposure of endometrioid infiltrate out of the surrounding tissues by means of a 5 mm monopolar electrode. An affected part of urinary bladder is dissected within the boundaries of submucous layer and is stitched by “Polysorb” 3-0 thread. Duration of this stage is 6 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic approach in surgical treatment of infiltrative endometriosis

Laparoscopic approach in surgical treatment of infiltrative endometriosis
Professor Bochorishvili R.G. is operating on (France) (2017).

The patient is 42, has infiltrating endometriosis, invading to the wall of the urinary bladder. In this video the technique of exposure of endometrioid infiltrate by means of bipolar forceps and endoscopic scissors, with the preliminary exposure of the right ureter is demonstrated. During cystoscopy invasion of endometrioid infiltrate to the mucous layer has been detected. Then resection of the affected area of the urinary bladder is done and atraumatic interrupted Z-suture is placed, using “Monocril” 2-0 thread. It is required to take control of suture-whether it is hermetic or not, and to place additional suture in the area of the urinary bladder.

Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis

Laparoscopic resection of the wall of the urinary bladder in case of infiltrating endometriosis.
Professor Puchkov K.V . is performing an operation (2016).

A 28 year-old patient is operated on for infiltrating endometriosis, invading to the wall of rectum and urinary bladder. According to cystoscopy data on the mucous layer of the urinary bladder there is tumour-like excrescence of a black colour-2-3 cm-with the fluid component inside. In this video the technique of endometrioid infiltrate exposure from the surrounding tissues by means of a 5 mm monopolar electrode is demonstrated. An affected area of the urinary bladder is dissected with the help of 5 mm MEDTRONIC-COVIDIEN ultrasonic scissors. Then it is stitched by “Polysorb” 3-0 and “Monocril” 3-0 thread. Before laparoscopy beginning stent is inserted into the lumen of the left ureter. One should take control of the stitched wound-whether it is hermetic or not.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Diagnostic cystoscopy in case of invasive endometriosis of urinary bladder.

Diagnostic cystoscopy in case of invasive endometriosis of urinary bladder.
The operation is performed by Puchkov K.V. (2016)

A 51 year-old patient has infiltrative endometriosis, invading to the wall of urinary bladder, without involvement of mucous membrane. She complains that she has disuria. According to MRT images there is formation on the posterior wall of urinary bladder, having the size 3 cm.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic “shaving” of the wall of the urinary bladder in case of the infiltrating endometriosis

Laparoscopic “shaving” of the wall of the urinary bladder in case of the infiltrating endometriosis.
Professor Puchkov is performing an operation (2015).

The patient has an infiltrating endometriosis, invading the wall of the urinary bladder. In this video the technique of exposure of the endometrioid infiltrate from the surrounding tissues by means of a 5 mm monopolar electrode is demonstrated. The infiltrate is localized closer to the orifice of the left ureter. Because of it the temporary stenting of the left ureter has been done. The affected area of the urinary bladder is dissected within the limits of the submucous layer. Through non-opened mucous membrane urinary catheter is seen. The wall of the urinary bladder is stitched by “Monocril” 3-0 thread. Operation duration is 16 minutes.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.