Document Detail

Urological morbidity of colorectal resection for endometriosis.
MedLine Citation:
PMID:  22278069     Owner:  NLM     Status:  In-Data-Review    
Colorectal resection for endometriosis is a major operation exposing patients to the risk of severe digestive and urological complications. The objective of this review is to evaluate surgery-related urological morbidity of which little is known to date. We searched MEDLINE for articles published on colorectal resection for endometriosis between 1998 and March 2011 using the following terms: "bowel", "rectal", "colorectal", "rectovaginal", "rectosigmoid", "resection" and "endometriosis". We were not able to perform a meta- analysis due to a lack of complete data on urological complications so have focused this review on voiding dysfunction and ureteral injury. Thirty-two articles reporting on 3047 colorectal resections for endometriosis including 1930 segmental resections, 271 discoid resections and 846 rectal shavings were analysed. For voiding dysfunction, 28 series including 2563 colorectal resections were available. Postoperative voiding dysfunction varied from 0% to 30.4% with a mean value of 3.4% (73/2118). Fourteen series reported an incidence of ureterolysis comprising between 8.5% and 100% with a mean value of 46% (815/1772 patients). The risk of urinary fistulae evaluated in 26 series was estimated at 0.9% (24/2581 patients). Only one case of hydronephrosis was reported in 9 series including 1256 patients (0.07%). The incidence of urological morbidity associated with colorectal endometriosis is poorly documented and probably underestimated due to the short follow-up reported in the series. Moreover, as complication rates varied widely according to the type of surgery and the experience of the teams, further studies are required to identify risk factors of urological morbidity so as to adequately inform patients.
E Daraï; S Zilberman; C Touboul; E Chereau; R Rouzier; M Ballester
Related Documents :
22336489 - Surgical treatment of bisphosphonate-associated osteonecrosis of the jaw: technical rep...
23494139 - Canula-assisted endoscopy in bi-portal transphenoidal cranial base surgery: technical n...
23671369 - Laparoscopic repair of iatrogenic bladder perforation during transurethral bladder tumo...
23680519 - Laparoscopic-assisted uterovaginal anastomosis for uterine cervix atresia with vaginal ...
22754159 - Lipoabdominoplasty: an exponential advantage for a consistently safe and aesthetic outc...
22643259 - Should compliance with the surgical care improvement project (scip) process measures de...
1251229 - Use of roux-en-y diversion of duodenal secretions in the treatment of reflux gastritis.
19063799 - Congenital cardiac surgical complications of the integument, vascular system, vascular-...
18555129 - Carbon dioxide absorption during laparoscopic donor nephrectomy: a comparison between r...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Minerva medica     Volume:  103     ISSN:  0026-4806     ISO Abbreviation:  Minerva Med.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400732     Medline TA:  Minerva Med     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  63-72     Citation Subset:  IM    
Service de Gynécologie-Obstétrique, Hôpital Tenon, AP-HP, Université Pierre et Marie Curie, Paris 6, France -
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Thyroid diseases and female reproduction.
Next Document:  The development of charge detection-quadrupole ion trap mass spectrometry driven by rectangular and ...