Endometriosis in Reproductive Years: Surgical Management of Colorectal Endometriosis

Horace Roman, Hanan Alsalem, Tudor Bı̂rsan, Gernot Hudelist
In: Endometriosis and Adenomyosis · 2022 · pp. 207–215 · doi:10.1007/978-3-030-97236-3_16 · W4285104642
book-chapter OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Shaving, disc excision, and segmental resection are surgical options for colorectal endometriosis with varying complication and recurrence risks, but current evidence is insufficient to strongly recommend one over the others.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper reviews surgical management strategies for rectal (colorectal) endometriosis in reproductive-age women, contrasting conservative approaches (shaving or disc excision that preserve overall rectal shape) with radical approaches (segmental colorectal resection). Drawing on retrospective case series, comparative cohorts with prospective data capture, and a randomized trial, it reports that postoperative complications like bowel fistula or pelvic abscess are more frequent when the rectal lumen is opened and the wall is sutured (notably with disc excision), while longer-term local rectal recurrence risk increases from segmental resection and disc excision to shaving. It also identifies key tradeoffs: stenosis risk is specifically linked to segmental resection/anastomotic narrowness, and feasibility varies with nodule size/depth, with insufficient evidence to strongly recommend one technique. This paper is centrally about endometriosis — it focuses on comparing surgical techniques for colorectal/rectal endometriosis and their complication, recurrence, and functional outcomes.

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