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Kadakia, et al.: Genitourinary endometriosis20 MOGS Chronicles | Volume 1 | Issue 1 | September 2024%u00a9 The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.while sparing most of the healthy bladder tissue.However, definitive diagnosis of endometriosis can only be established on histopathological examination.DeclarationConflict of interestNone.DisclosureNone.Informed consentInformed consent Informed consent was taken from the patient.References1. Berveiller P, Ropert S, Mir O, Becker CM, Missmer SA, Zondervan KT. Endometriosis. N Engl J Med 2020;383:193-4.2. Gabriel B, Nassif J, Trompoukis P, Barata S, Wattiez A. Prevalence and management of urinary tract endometriosis: A clinical case series. Urology 2011;78:1269-74.3. Maccagnano C, Pellucchi F, Rocchini L, Ghezzi M, Scattoni V, Montorsi F, et al. Ureteral endometriosis: Proposal for a diagnostic and therapeutic algorithm with a review of the literature. Urol Int 2013;91:1-9.4. Berlanda N, Vercellini P, Carmignani L, Aimi G, Amicarelli F, Fedele L. Ureteral and vesical endometriosis. Obstet Gynecol Surv 2009;64:830-42.5. Seracchioli R, Mabrouk M, Montanari G, Manuzzi L, Concetti S, Venturoli S. Conservative laparoscopic management of urinary tract endometriosis (UTE): Surgical outcome and long-term follow-up.Fertil Steril 2010;94:856-61.6. Fedele L, Piazzola E, Raffaelli R, Bianchi S. Bladder endometriosis: Deep infiltrating endometriosis or adenomyosis? Fertil Steril 1998;69:972-5.How to cite this article: Kadakia J, Agrawal S, Desai S, Bhamare P.Genitourinary Endometriosis - A Case Report. MOGS Chronicles 2024;1(1):18-20.This case report sheds light on the complexities and challenges associated with diagnosing and managing endometriosis, particularly BE which is a type extra pelvic deep infiltrating endometriosis (DIE). It can affect a significant subset of women with endometriosis, and is often misdiagnosed or diagnosed at a late stage, leading to prolonged suffering and ineffective treatments. As clinicians we should be aware regarding the varied presentations of BE and DIE. The involvement of the urinary tract in DIE often complicates management, necessitating a multidisciplinary approach, careful assessment, including advanced imaging, histopathological analysis, to confirm diagnosis and specialized surgical techniques to ensure complete removal while minimizing damage to surrounding structures. Combination of hormonal therapies and surgical options remains the mainstay in managing symptoms and improving quality of life for affected patients.Editor%u2019s Note7. Guerriero S, Condous G, Bosch TV, Valentin L, Leone FP, Van Schoubroeck D, et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: A consensus opinion from the International Deep Endometriosis Analysis (IDEA) group.Ultrasound Obstet Gynecol 2016;48:318-32.