Impact of Surgical Resection of Rectovaginal Pouch of Douglas Endometriotic Nodules on Pelvic Pain and Some Elements of Patients' Sex Life

Anaf V, V Anaf, Vincent Anaf, Simon P, P Simon, Philippe Simon, El Nakadi I, I El Nakadi, Issam El Nakadi, T Simonart, Simonart T, Thierry Simonart, Jean‐Christophe Noël, Noel J, J Noel, F Buxant, Frédéric Buxant, Buxant F
The Journal of the American Association of Gynecologic Laparoscopists · 2001 · vol. 8(1) , pp. 55–60 · doi:10.1016/s1074-3804(05)60549-x · PMID:11172115 · W2170513816
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This study examined the impact of surgically removing rectovaginal pouch of Douglas endometriotic nodules on pelvic pain and aspects of patients' sexual function.

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Abstract

Study objectiveTo assess the impact of laparoscopic resection of endometriotic nodules in the rectovaginal pouch of Douglas on women's pain symptoms, analgesic intake, work absenteeism, work difficulties, and some elements of sex life.DesignObservational study (Canadian Task Force classification II-2).SettingGynecology department at a university hospital.PatientsTwenty-six women with rectovaginal pouch of Douglas endometriotic nodules and no evidence of other potential cause of pain at physical examination, laparoscopy, and transvaginal ultrasonography.InterventionLaparoscopic resection of endometriotic nodules with the CO2 laser until no residual induration was felt in surrounding tissues.Measurements and main resultsSignificant statistical differences were found between preoperative and postoperative pain scores, percentages of women absent from work, percentages taking analgesics or nonsteroidal antiinflammatory drugs, and percentages having work difficulties due to pain. A significant difference also was found in frequencies of sexual desire and coitus.ConclusionEndometriotic nodules in the rectovaginal pouch of Douglas may be responsible for major pelvic pain and also for sexual dysfunction (lack of sexual desire, dyspareunia). Laparoscopic resection of the nodules significantly improves these conditions. (J Am Assoc Gynecol Laparosc 8(1):55-60, 2001)

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Douglas' Pouch Endometriosis Laparoscopy Pelvic Pain Sexual Behavior Adult Coitus Douglas' Pouch Endometriosis Female Humans Pelvic Pain Quality of Life

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