{"paper_id":"edea577e-c12e-40fd-a09b-d1753d400467","body_text":"Abstract\nColorectal endometriosis represents the most severe form of endometriosis and affects up to 12% of women and is defined by the infiltration of the muscular layer of the bowel. Little is known about its pathophysiology, especially in infertility and its management is still in debate. The latest ESHRE recommendations emphasize on the benefits of surgery of deep infiltrating endometriosis (DIE) on the quality of life but do not recommend surgery for improving fertility outcomes. New data have been published in the literature and demonstrated that complete removal of DIE lesions in patients with negative factors (failed IVF/ICSI cycles, low AMH levels, and adenomyosis) is associated with a high rate of spontaneous and assisted pregnancies in patients less than 35 years. The pregnancy rates are the highest in the first year after surgery. In cases of chronic pelvic pain, many studies have found that complete removal of lesions is associated with pain reduction (especially dysmenorrhea) and higher quality of life. In conclusion, infertile and pelvic pain patients could benefit from surgery if performed by skilled surgeons.\nAccess this chapter\nTax calculation will be finalised at checkout\nPurchases are for personal use only\nSimilar content being viewed by others\nReferences\nDu H, Taylor HS. Contribution of bone marrow-derived stem cells to endometrium and endometriosis. Stem Cells. 2007;25(8):2082–6. https://doi.org/10.1634/stemcells.2006-0828.\nGiudice LC, Kao LC. Endometriosis. Lancet. 2004;364(9447):1789–99. https://doi.org/10.1016/S0140-6736(04)17403-5.\nDunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod. 2014;29(3):400–12. https://doi.org/10.1093/humrep/det457.\nNisolle M, Donnez J. 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Ann Surg. 2004;240(2):205–13. https://doi.org/10.1097/01.sla.0000133083.54934.ae.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2021 International Society of Gynecological Endocrinology\nAbout this chapter\nCite this chapter\nBirbarah, C., Tebache, L., Brichant, G., Nisolle, M. (2021). What Is the Place of Surgery of Deep Endometriosis in Infertile and Pelvic Pain Patients?. In: Genazzani, A.R., Nisolle, M., Petraglia, F., Taylor, R.N. (eds) Endometriosis Pathogenesis, Clinical Impact and Management. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-030-57866-4_9\nDownload citation\nDOI: https://doi.org/10.1007/978-3-030-57866-4_9\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-030-57865-7\nOnline ISBN: 978-3-030-57866-4\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}