Alfred Cutner

BACKGROUND: There is no agreed consensus on the optimal surgical treatment for pain associated with endometriosis. OBJECTIVES: To compare improvement in symptoms and quality-of-life in patients undergoing excisional endometriosis surgery (…

The claimant presented with abdominal pain from the age of 18 years through to the age of 36 years. When she finally underwent a laparoscopy, she was found to have grade 4 endometriosis which had spread around her ovaries, colon and the wal…

STUDY OBJECTIVE: To retrospectively evaluate the ability of routinely collected preoperative ultrasound data to predict bowel resection during surgery for rectovaginal endometriosis. DESIGN AND SETTING: Patients at the University College L…

The aim of this study was to assess the prevalence and morphological appearances of ovarian endometriomas and deep pelvic endometriomas using pelvic ultrasound examination in women attending for early pregnancy care. This was a prospective …

OBJECTIVE: To assess the prevalence and morphological appearance of deep endometriosis and ovarian endometrioma using pelvic ultrasound examination in women attending for an early pregnancy assessment. METHODS: This was a prospective obser…

Objective To assess the prevalence of endometriosis using pelvic ultrasound examination in women attending for early pregnancy care Design Prospective observational study. Setting A dedicated early pregnancy unit. Population We included 134…

STUDY OBJECTIVE: Endometriosis is a recognized cause of pelvic pain in adolescents with menstrual symptoms that significantly affect education, activity, and social interactions. We aim to provide an updated systematic review of the prevale…

BACKGROUND: Surgery for deep endometriosis often requires input from urological surgeons. This study aims to determine pre-operative and intra-operative factors that influence the need for urological input in laparoscopic resection of recto…

OBJECTIVE: To determine whether significant hemoperitoneum could be a precursor of deep pelvic endometriosis METHODS: This was a prospective observational cohort study which was carried out in a dedicated gynecological diagnostic unit over …

OBJECTIVE: To determine whether significant hemoperitoneum could be a precursor of deep pelvic endometriosis in non-pregnant premenopausal women presenting with severe acute lower abdominal pain. METHODS: This was a prospective observation…

We present the details of 3 patients who were referred to our endometriosis centre for multidisciplinary care with deep infiltrating endometriosis. The pre-operative assessments, intra-operative gynaecological findings and treatment and pos…

OBJECTIVE: To estimate the effectiveness and safety of laparoscopic surgical excision of rectovaginal endometriosis. DESIGN: A multicentre, prospective cohort study. SETTING: 51 hospitals accredited as specialist endometriosis centres. P…

Ultrasound mapping of pelvic endometriosis: does the location and number of lesions affect DIE lesions significantly improved with increasing total number of lesions. Holland et al. BMC Women's Health 2013, 13:43

Riiskjær et al. report the functional outcome of segmental bowel resection for rectosigmoid endometriosis during the laparoscopic treatment of deep infiltrating disease. This large, prospective study, employing validated outcome measures, i…

STUDY QUESTION: Is there any benefit to including the routine examination by ultrasound of the bladder, ureters and kidneys of women with endometriosis? SUMMARY ANSWER: The benefit of examination of the complete urinary tract of women with…

STUDY QUESTION: Is temporary ovarian suspension following laparoscopic surgery for severe pelvic endometriosis an effective method for reducing the prevalence of postoperative ovarian adhesions? SUMMARY ANSWER: Temporary ovarian suspension…

BACKGROUND: Endometriosis is a common condition which causes pain and reduced fertility. Treatment can be difficult, especially for severe disease, and an accurate preoperative assessment would greatly help in the managment of these patient…

OBJECTIVE: To examine the reproducibility of assessment of severity of pelvic endometriosis by transvaginal sonography (TVS). METHODS: This was a prospective observational study conducted from August 2006 to July 2009 in two academic depar…

BACKGROUND: Endometriosis is a common benign condition, which is characterized by the growth of endometrial-like tissue in ectopic sites outside the uterus. Laparoscopic excision of the disease is frequently carried out for the treatment of…

OBJECTIVE: The objective of this study was to examine the ability of preoperative transvaginal ultrasound (TVS) scanning to assess the severity of pelvic endometriosis. METHODS: Consecutive women with clinically suspected or proven pelvic …

This paper aims to determine the correlation between the diagnosis of endometriosis on the basis of the visualisation at laparoscopy and the histological diagnosis. Histological confirmation rates vary in the current literature. We retrospe…

We conducted a prospective study to evaluate the incidence and the surgical factors determining the development of postoperative voiding dysfunction following this surgery. The presence of rectovaginal dissection was significantly associate…