{"paper_id":"52dbf17c-6f09-48ee-abe8-c7a1aaf3326f","body_text":"Abstract\nPurpose\nThis study aimed to assess the prevalence and progression of lower urinary tract symptoms following laparoscopic surgery for deep-infiltrating endometriosis of the rectosigmoid and identify preoperative factors associated with worse postoperative outcomes.\nMethods\nProspective, observational study. Settings: single-center, referral hospital for endometriosis. Patients undergoing laparoscopic surgery for deep-infiltrating endometriosis of the rectosigmoid colon between October 2016 and October 2018. Main outcome measures: urinary function was assessed with the validated Portuguese language version of the International Prostate Symptom Score, which is also used in women. The score was collected before and after surgery. The Wilcoxon signed-rank test was used to compare pre and postoperative scores and the chi-square test compared symptoms categorized by severity.\nResults\nFifty-three patients were assessed and 44 were included. Concerning urinary symptoms after surgery, the irritative symptoms prevailed over the obstructive ones. Additionally, 58.8% and 54.5% of the women reported moderate or severe symptoms at pre and postoperative, respectively. In at least one questionnaire category, the postoperative questionnaire scores increased in ten (22.7%) participants. A statistically significant difference was found comparing the changes from absent/mild to moderate/severe IPSS categories (P = 0.039). No significant changes were identified in any of the International Prostate Symptom Score pre and postoperatively (P = 0.876).\nConclusions\nThere was a high prevalence of pre and postoperative urinary symptoms. Patients with preoperative moderate/severe International Prostate Symptom Score are at risk of persisting urinary dysfunction after surgery for rectosigmoid deep endometriosis.\nSimilar content being viewed by others\nData Availability\nThe datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.\nReferences\nCharatsi D, Koukoura O, Ntavela IG, Chintziou F, Gkorila G, Tsagkoulis M et al (2018) Gastrointestinal and urinary tract endometriosis: a review on the commonest locations of extrapelvic endometriosis. Adv Med 2018:3461209\nUccella S, Gisone B, Serati M, Biasoli S, Marconi N, Angeretti G et al (2018) Functional outcomes of nerve-sparing laparoscopic eradication of deep infiltrating endometriosis: a prospective analysis using validated questionnaires. 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Minerva Urol Nefrol 72(1):58–65\nAuthor information\nAuthors and Affiliations\nContributions\nMariana de Sousa Ribeiro de Carvalho study conception design, collected data, performed the follow-up, applied the questionnaires, performed the bibliographic research, and wrote the article; Ana Maria Gomes Pereira study conception design, performed surgeries, collected data, performed data analysis and interpretation, and wrote the article; Fernando Bray Beraldo study conception design, performed surgeries and the follow-up, and critical revision; Reginaldo Guedes Coelho Lopes, Gianluca Pellino, and Salomone Di Saverio revised data analysis and edited the text/final approval of the manuscript. All authors discussed the results and commented on the manuscript for final approval of the article.\nCorresponding author\nEthics declarations\nEthical approval\nThis Research Ethics Committee of the IAMSPE/Hospital do Servidor Público Estadual, São Paulo, SP, Brazil approved this study (Opinion Number: 1,734,800, CAAE: 59528716.5.0000.546). All study participants provided written informed consent to join the study.\nConflict of interest\nThe authors declare no competing interests.\nAdditional information\nPublisher's note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nde Carvalho, M.R., Pellino, G., Pereira, A.M.G. et al. Prevalence of urinary dysfunction after minimally invasive surgery for deep rectosigmoid endometriosis. Langenbecks Arch Surg 408, 83 (2023). https://doi.org/10.1007/s00423-023-02831-6\nReceived:\nAccepted:\nPublished:\nVersion of record:\nDOI: https://doi.org/10.1007/s00423-023-02831-6","source_license":"CC0","license_restricted":false}