Bowel and bladder function after resection of deeply infiltrating endometriosis

Li YH, Ying Hong Li, Bradley de Vries, Michael Cooper, Cooper M, Krishnan S, Surya Krishnan
The Australian & New Zealand journal of obstetrics & gynaecology · 2014 · vol. 54(3) , pp. 218–224 · doi:10.1111/ajo.12199 · PMID:24845364 · W2051388511
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This study found women with deeply infiltrating endometriosis had higher urinary stress and bowel dysfunction post-surgery compared to controls, though both groups improved significantly.

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Abstract

AIMS: To compare bowel and bladder function following uterosacral or rectovaginal excision of endometriosis with excision of endometriosis from other sites of the pelvis. METHODS: A retrospective cohort study was performed via a questionnaire derived from validated questionnaires in the literature. This was applied to the two groups of women who have had endometriosis resected in the last 15 years--those with deeply infiltrating endometriosis (DIE) and those with endometriosis from other sites. In the questionnaire, voiding dysfunction, urinary stress incontinence, urinary urge incontinence, stool evacuation and overall symptoms post-surgery were investigated. The higher the score, the higher the level of dysfunction. RESULTS: Women with DIE had higher levels of urinary stress dysfunction than the control group (mean 1 vs 0, IQR 3 vs 2, P = 0.047). Women with DIE also expressed a higher level of bowel dysfunction (mean 2 vs 2, IQR 1 vs 0, P = 0.002). However, women with DIE also reported significant improvement in urinary and bowel dysfunction postoperatively. There were no significant differences between the other variables. CONCLUSION: The study demonstrated no clear association between the depth of excision of endometriosis with urinary and bowel dysfunction. The differences in urinary stress incontinence and bowel dysfunction may be explained by DIE itself causing damage to the hypogastric plexus.

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Constipation Endometriosis Postoperative Complications Postoperative Complications Urinary Incontinence, Stress Adult Constipation Defecation Endometriosis Endometriosis Female Follow-Up Studies Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Logistic Models Middle Aged Retrospective Studies Surveys and Questionnaires Urinary Incontinence, Stress

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (6)

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