This was a 38 year old lady who came for review. Her complaints were dysuria during periods .

First I will show the pictures and then discuss the case.

This lady around 8 years ago underwent a medical termination of pregnancy and had a uterine rupture , which required surgical repair.

Subsequently a year later , she developed severe dysuria, dysmenorrhoea ( the nature of pain being different from earlier ) and occasional hematuria.

On evaluation she had a nodular swelling between the bladder and uterus. She had a few uro gynaecological consultations  and cystoscopy and biopsy revealed endometriotic nodule. As she was reluctant to have any surgical correction , she was on conservative medical treatment . She also took hormonal treatment for endometriosis. The intensity of her symptoms reduced . She had come for her annual follow up scan and the pictures are given above.

The 3 D and 4D Live pictures of the endometriotic nodules are given above. The uro gynaecologist reviewed her and advised her  to continue the conservative management.