Deep-Infiltrating Endometriosis

Endometriosis is an inflammatory condition defined by the presence of endometrium like tissue outside the uterus, predominantly but not exclusively in the pelvic compartment. Its prevalence is estimated to be 10% of reproductive aged females. Correlation is observed between anatomic location and type of endometriotic pain. Rectal endoscopy sonography (RES) is a diagnostic procedure that involves use of endoscopic sonography through the rectum with the lesions of DIE identified as hypoechoic nodules or mass. Laparoscopy due to its advantages of lesser complications and faster recovery time is the preferred technique to evaluate and treat benign conditions in the pelvis and the abdomen. It also provides a better visualization of the peritoneal cavity due to its magnified view and is the only acceptable method till date to determine the extent and severity of the disease. Urologic involvement is seen in 1.2%–3.9% of women with endometriosis.