Dienogest. A possible conservative approach in bladder endometriosis. Results of a pilot study

被引:39
作者
Angioni, Stefano [1 ]
Nappi, Luigi [2 ]
Pontis, Alessandro [1 ]
Sedda, Federica [1 ]
Luisi, Stefano [3 ]
Mais, Valerio [1 ]
Melis, Gian Benedetto [1 ]
机构
[1] Univ Cagliari, Dept Surg Sci, Div Obstet & Gynecol, I-09042 Monserrato, CA, Italy
[2] Univ Foggia, Inst Obstet & Gynaecol, Dept Med & Surg Sci, Foggia, Italy
[3] Univ Siena, Dept Mol & Dev Med, Obstet & Gynecol, I-53100 Siena, Italy
关键词
Deep endometriosis; dienogest; dysuria; pelvic pain; DEEP ENDOMETRIOSIS; SURGICAL-TREATMENT; WOMEN; HYSTEROSCOPY; PREGNANCY; SYMPTOMS; EFFICACY; SURGERY; ACETATE; PAIN;
D O I
10.3109/09513590.2015.1006617
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deep endometriosis involvement of the bladder is uncommon but it is symptomatic in most of the cases. Although laparoscopic excision is very effective, some patients with no pregnancy desire require a medical approach. We performed a pilot study on the effect of a new progestin dienogest on bladder endometriosis. Six patients were treated for 12 months with dienogest 2 mg/daily. Pain, urinary symptoms, quality of life, nodule volume and side effects were recorded. During treatment, symptoms improved very quickly and the nodules exhibit a remarkable reduction in size. Dienogest may be an alternative approach to bladder endometriosis.
引用
收藏
页码:406 / 408
页数:3
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