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Urinary tract involvement is rare, occurring in approximately 1\u20132% of cases, with the bladder being the most frequently affected organ. Bladder endometriosis is often associated with deep infiltrative endometriosis and can lead to delays in diagnosis due to non-specific symptoms. In recent years, advances in magnetic resonance imaging (MRI) techniques have increased diagnostic accuracy, and minimally invasive surgical methods have come to the forefront in treatment. This review presents the pathogenesis, clinical features, diagnostic approaches, and current treatment options of bladder endometriosis, along with a review of the literature.<\/jats:p>","DOI":"10.1007\/s00261-026-05650-7","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T03:04:44Z","timestamp":1782529484000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bladder endometriosis: a current overview of pathogenesis, diagnosis, and treatment approaches"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7025-4087","authenticated-orcid":false,"given":"Belma G\u00f6zde","family":"\u00d6zdemir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halis","family":"\u00d6zdemir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"key":"5650_CR1","doi-asserted-by":"crossref","unstructured":"Zondervan KT, Becker CM, Missmer SA. 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Insights into imaging, 12(1), 105.","journal-title":"Insights into imaging"},{"key":"5650_CR4","first-page":"37","volume":"51","author":"M Bazot","year":"2018","unstructured":"Bazot M, Dara\u00ef E. Role of MRI in the diagnosis of deep infiltrating endometriosis. Best Pract Res Clin Obstet Gynaecol. 2018;51:37\u201346.","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"issue":"1","key":"5650_CR5","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1001\/jama.2025.2975","volume":"334","author":"S As-Sanie","year":"2025","unstructured":"As-Sanie S, Mackenzie SC, Morrison L, Schrepf A, Zondervan KT, Horne AW, Missmer SA (2025) Endometriosis: A Review. JAMA 334(1):64\u201378","journal-title":"JAMA"},{"issue":"4","key":"5650_CR6","doi-asserted-by":"publisher","first-page":"466","DOI":"10.3390\/diagnostics15040466","volume":"15","author":"E Piriyev","year":"2025","unstructured":"Piriyev E, Schiermeier S, R\u00f6mer T. 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Systematic approach to sonographic evaluation of endometriosis. Ultrasound Obstet Gynecol. 2016;48:318\u2013332.","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"19","key":"5650_CR10","doi-asserted-by":"publisher","first-page":"5783","DOI":"10.3390\/jcm13195783","volume":"13","author":"L Alonzo","year":"2024","unstructured":"Alonzo, L., Cannella, R., Gullo, G., Piombo, G., Cicero, G., Lopez, A., Billone, V., Andrisani, A., Cucinella, G., Lo Casto, A., & Lo Re, G. (2024). Magnetic Resonance Imaging of Endometriosis: The Role of Advanced Techniques. Journal of clinical medicine, 13(19), 5783.","journal-title":"Journal of clinical medicine"},{"key":"5650_CR11","first-page":"101","volume":"20","author":"P Vercellini","year":"2014","unstructured":"Vercellini P, et al. Medical treatment of endometriosis. 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