A prospective surgical evaluation of the coexistence of endometriosis and interstitial cystitis/bladder pain syndrome - Summary - MDSpire
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A Prospective Surgical Assessment of the Co-occurrence of Endometriosis and Interstitial Cystitis/Bladder Pain Syndrome

  • By

  • Giovanni Favero

  • Felix Zeppernick

  • Magdalena Zeppernick

  • Tatiana Pfiffer

  • Thilo Schwandner

  • Ivo Meinhold-Heerlein

  • July 8, 2026

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Objective:

To assess the coexistence of Endometriosis and Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) and their contribution to persistent pelvic pain.

Approach:
  • Assessment Method: Combined laparoscopic and cystoscopic assessment to improve diagnosis and phenotype characterization.
  • Management Strategy: Support individualized multidisciplinary management while potentially reducing unnecessary repeated interventions.
Key Findings:
  • Endometriosis affects approximately 10-15% of women of reproductive age and is associated with chronic pelvic pain in up to 80% of affected women.
  • Chronic pelvic pain (CPP) affects 6-25% of women globally and is linked to significant impairments in quality of life and increased healthcare utilization.
  • Delayed diagnosis remains a major challenge, with up to 50% of women experiencing years of symptoms without a definitive diagnosis.
Interpretation:

The study emphasizes the need for comprehensive evaluation in women with chronic pelvic pain, particularly those with a prior diagnosis of endometriosis.

Limitations:
  • The study may not account for all potential confounding factors in the assessment of co-occurring conditions.
  • The generalizability of findings may be limited by the specific population studied.
Conclusion:

Combined assessments may enhance the diagnosis and management of co-occurring endometriosis and IC/BPS.

Original Source(s)

A prospective surgical evaluation of the coexistence of endometriosis and interstitial cystitis/bladder pain syndrome

  • by Giovanni Favero, Felix Zeppernick, Magdalena Zeppernick, Tatiana Pfiffer, Thilo Schwandner, Ivo Meinhold-Heerlein

  • July 8, 2026

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