The diagnosis and management of infiltrating nodular recto-vaginal endometriosis

Jeremy Wright, J T Wright
Current opinion in obstetrics & gynecology · 2000 · vol. 12(4) , pp. 283–287 · doi:10.1097/00001703-200008000-00003 · PMID:10954147 · W2313620380
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This review examines the diagnosis and management of infiltrating rectovaginal endometriosis, highlighting the significant symptom relief achieved by radical surgical excision in specialist centers.

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This review article examines the history, clinical presentation, and histological diagnosis of infiltrating nodular recto-vaginal endometriosis. It highlights that radical surgical excision provides significant symptom relief for patients suffering from serious manifestations of the disease, although such procedures are currently limited to specialized medical centers. The authors note a lack of randomized controlled trials for management strategies, emphasizing the need for meticulous pre- and post-operative recording of signs and symptoms alongside histological confirmation. This paper is centrally about endometriosis — specifically focusing on the diagnostic and therapeutic challenges associated with deep infiltrating recto-vaginal lesions.

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Abstract

This paper reviews the history of infiltrating recto-vaginal endometriosis, its clinical and histological diagnosis, together with discussion of treatment options available. Important new work demonstrates significant serious symptomatology which patients suffer, and the relief that can be obtained by radical surgical excision. However this treatment is only available in certain specialist centres. The appropriate methods of management are yet to be subject to a proper randomized control trial, and results of treatment can only be assessed by meticulous recording of patient signs and symptomatology pre- and post-operation associated with histological confirmation of the disease.
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Review Article The diagnosis and management of infiltrating nodular recto-vaginal endometriosis - Jeremy T Wright Current Opinion in Obstetrics & Gynecology 12(4):p 283-287, August 2000. This paper reviews the history of infiltrating recto-vaginal endometriosis, its clinical and histological diagnosis, together with discussion of treatment options available. Important new work demonstrates significant serious symptomatology which patients suffer, and the relief that can be obtained by radical surgical excision. However this treatment is only available in certain specialist centres. The appropriate methods of management are yet to be subject to a proper randomized control trial, and results of treatment can only be assessed by meticulous recording of patient signs and symptomatology pre- and post-operation associated with histological confirmation of the disease. Copyright © 2000 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Rectal Diseases Vaginal Diseases Endometriosis Endometriosis Female Humans Laparoscopy

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 (16)

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