This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endometriosis & H, Subject name: Gynaecology & Obstetrics
Treatment of choice for extragenital endometriosis is 
Select and explain. 
A. Complete excision, B. Medical treatment only, C. Medical + surgical treatment, D. Steroids
A: Complete excision
Answer: A: Complete excision 
Explanation: Treatment of extragenital endometriosis will depend on the site. If complete excision is possible, this is the treatment of choice. When this is not possible, long-term medical treatment is necessary using the same principles of medical treatment for pelvic endometriosis. Surgical treatment of Bladder endometriosis -excision of the lesion and primary closure of the bladder wall. Ureteral lesions may be excised after stenting the ureter, Abdominal wall and perineal endometriosis -complete excision of the nodule. Appendicular endometriosis-Appendectomy.