| Delayed functional outcomes associated with surgical management of deep rectovaginal endometriosis with rectal involvement: giving patients an informed choice. | |
| | |
MedLine Citation:
|
PMID: 20106836 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The aim of this study was to compare delayed functional digestive and urinary outcomes following two different surgical procedures used in the management of rectal endometriosis. METHODS: Women who had undergone surgical management of rectal endometriosis with at least 1 year of post-operative follow-up were included in a retrospective study. Post-operative symptoms were evaluated using specific questionnaires which focused on pelvic pain and functional outcomes. RESULTS: There were 41 women who underwent surgical treatment of symptomatic rectal endometriosis. Post-operative follow-up was completed over 26 +/- 13 months (range 12-53). Colorectal segmental resection was performed in 25 women (61%) and nodule excision in 16 (39%). An increase in the number of daily stools > or =3 was observed in 13 (52%) and 3 (19%) patients managed, respectively, by segmental resection and nodule excision (P = 0.02). Severe constipation (<1 stool/5 days) was recorded in three women having undergone segmental resection. The probabilities of being free of dysmenorrhea, dyspareunia and non-cyclic pain at 24 months in women managed by segmental resection and nodule excision were, respectively, 80% (95% CI: 55-92%), 65% (95% CI: 42-81%), 43% (95% CI: 23-62%) and 62% (95% CI: 34-81%), 81% (95% CI: 52-94), 69% (95% CI: 40-86%). When pain recurrences occurred, a significantly lower post-operative score for pain was observed in both groups. No significant difference in pain improvement was found between surgical procedures. CONCLUSION: Colorectal segmental resection appears to be associated with several unpleasant functional symptoms when compared with nodule excision. Information about functional outcomes should be provided to patients managed for rectal endometriosis, and should be considered when deciding on the most appropriate treatment of this disease. |
| | |
Authors:
|
Horace Roman; Cecile Loisel; Benoit Resch; Jean Jacques Tuech; Patrick Hochain; Anne Marie Leroi; Loic Marpeau |
Related Documents
:
|
19466496 - Prospective evaluation of sexual function after open and laparoscopic surgery for recta... 8930036 - A prospective randomized study comparing stapled with handsewn oesophagogastric anastom... 4419246 - Correction of rectal prolapse by anterior resection. 9231856 - Comparison of polyglycolic acid and polypropylene mesh for rectopexy in the treatment o... 21124046 - Longevity analysis of currently available deep brain stimulation devices. 17335446 - Endotherapy for pancreatic fistulae: inside out or outside in? |
Publication Detail:
|
Type: Comparative Study; Journal Article Date: 2010-01-26 |
Journal Detail:
|
Title: Human reproduction (Oxford, England) Volume: 25 ISSN: 1460-2350 ISO Abbreviation: Hum. Reprod. Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-03-17 Completed Date: 2010-06-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8701199 Medline TA: Hum Reprod Country: England |
Other Details:
|
Languages: eng Pagination: 890-9 Citation Subset: IM |
Affiliation:
|
Department of Gynecology and Obstetrics, Rouen University Hospital, Rouen, France. horace.roman@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Digestive System Surgical Procedures / methods Dysmenorrhea / physiopathology Dyspareunia / physiopathology Endometriosis / physiopathology, surgery* Female Gynecologic Surgical Procedures / methods Humans Pain / physiopathology Rectal Diseases / physiopathology, surgery* Retrospective Studies Treatment Outcome Vaginal Diseases / physiopathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Review article: granulomatous diseases and granulomas of the appendix.
Next Document: A cost-effectiveness analysis of in-vitro fertilization by maternal age and number of treatment atte...