Adela G. Cope

BACKGROUND: While minimally invasive surgery is the current surgical standard of care for excision of deep endometriosis of the bowel, there is little literature evaluating patient-reported outcome measures following a multidisciplinary, ro…

OBJECTIVE: To determine the prevalence of pathology-proven endometriosis in patients with suspected adenomyosis undergoing total laparoscopic hysterectomy (LH). METHODS: This was a single-site retrospective cohort study performed at an aca…

OBJECTIVE: Accessory cavitating uterine masses (ACUM) are rare, cystic uterine anomalies associated with an otherwise normal uterus and reproductive tract. They are diagnosed via a presence of a noncommunicating accessory cavity lined by en…

Evidence-based conservative treatment strategies for deep endometriosis (DE) are lacking. We identify patient characteristics predicting treatment success. Retrospective cohort Tertiary referral center, 2015-2024 Patients aged 16-55 undergo…

PURPOSE OF REVIEW: We present a review of the natural progression, response to hormonal therapy, and risk of malignancy associated with deep endometriosis (DE) to guide evidence-based discussion of conservative treatment. RECENT FINDINGS: …

BACKGROUND: Rectosigmoid endometriosis (RSE) presents with a diverse array of MRI findings that impact surgical planning. No standardized reporting and data system has been established for RSE. PURPOSE: We propose a novel MRI scoring syste…

Abstract Background: Rectosigmoid endometriosis (RSE) presents with a diverse array of MRI findings that impact surgical planning. No standardized reporting and data system has been established for RSE. Purpose: We propose a novel MRI scor…

STUDY OBJECTIVE: Assess the surgical site infection (SSI) risk of clean benign gynecologic laparoscopy for endometriosis. DESIGN: Retrospective cohort. SETTING: National Surgical Quality Improvement Program hospitals, 2019 to 2022. PATIE…

STUDY OBJECTIVE: To determine an updated rate of urinary tract injuries at the time of hysterectomy after the widespread adoption of laparoscopy and cystoscopy, with attention to patients with endometriosis. DESIGN: Retrospective cohort. …

Endometriosis is a common yet morbid disease. Imaging plays an important role in diagnosis and treatment planning. Both ultrasound (US) and MRI are used to detect disease. We performed a literature review to assess whether one is superior. …

BACKGROUND: Endometriosis is a chronic, debilitating condition affecting up to 10% of reproductive-age women. Urinary tract endometriosis is found in 1%-6% of women diagnosed with pelvic endometriosis, with the most common sites being the b…

STUDY OBJECTIVE: To assess the association between laparoscopic appearance of superficial endometriosis lesions, histopathology, and systemic hormone use. DESIGN: Retrospective study. SETTING: Tertiary care academic medical center. PATIE…

PURPOSE OF REVIEW: Endometriosis is a complex benign gynaecologic condition with heterogenous presentations and a large impact on the global healthcare system and on the quality of life for millions of women. Currently, the gold standard fo…

STUDY OBJECTIVE: To highlight different surgical approaches for managing deep infiltrating endometriosis involving the rectosigmoid colon. DESIGN: Demonstration of specific surgical techniques with educational narrated video footage. SETT…

Objective: To determine if gastrointestinal (GI) symptoms can predict deep endometriosis (DE) of the posterior pelvic compartment on magnetic resonance imaging (MRI). Methods: Patients with suspected endometriosis undergoing endometriosis p…

Introduction: The overlap of endometriosis and irritable bowel syndrome (IBS) diagnoses is well documented. Women with endometriosis have a 2.4-fold risk of fulfilling IBS criteria and there is a 3-fold risk of endometriosis diagnosis in wo…

PURPOSE: To evaluate the feasibility and safety of percutaneous image-guided cryoablation of abdominal wall endometriosis (AWE). MATERIALS AND METHODS: A retrospective review of percutaneous cryoablation (CT or MR) of AWE was performed fro…

Objective: To determine the clinical characteristics and prior medical and surgical treatments in women undergoing surgical excision of endometriosis for pelvic pain at a single institution. Methods: In this retrospective cohort study we id…