[Endometriosis: necessary and sequential therapeutic procedures and guidelines].

Valerio M Jasonni
Urologia · 2011 · vol. 77 Suppl 17 , pp. 12–5 · PMID:21308669 · W42786380
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This review outlines endometriosis diagnostic guidelines, emphasizing laparoscopy for accurate staging and surgical intervention as the most effective treatment, though hormonal therapy is used for pain relief.

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Abstract

OBJECTIVES: To define the actual guidelines about the therapy of endometriosis. METHODS: A brief review of the literature for the correct diagnosis of endometriosis and the medical and surgical approach. RESULTS: It is well accepted that the gold standard of endometriosis diagnosis is the direct vision of the disease with laparoscopy or the presence of endometriosis implants in vagina or cervix. Staging must be performed along with the distribution, and depth and bowel involvement must be noted. Symptoms intensity is not related to the degree of endometriosis. Therapy, medical or surgical, should be chosen in relation to symptoms and the disease degree, keeping in mind that surgery is the approach that may offer better results. CONCLUSIONS: The direct vision of the disease is the only method to obtain the correct diagnosis and an accurate staging. However, ultrasound can be helpful in cases of pelvic localization and in the follow-up of the disease. Moreover, MRI can be employed, especially in cases with particular endometriosis implant, e.g. gluteus muscle. Surgery offers the best results but some medical therapy, especially hormonal therapy, is often employed for the relief of pains.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Practice Guidelines as Topic Adolescent Adult Autonomic Denervation Combined Modality Therapy Diagnostic Imaging Diagnostic Imaging Disease Progression Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Estradiol Estradiol Female Gonadotropin-Releasing Hormone Gonadotropin-Releasing Hormone

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.

References (13)

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