Endometriotic Pain Is Associated with Adenomyosis but Not with the Compartments Affected by Deep Infiltrating Endometriosis

Maria Francesca Perelló, Perelló MF, Maria Perelló, Martínez-Zamora MÁ, Maria Ángeles Martínez-Zamora, Maria Ángeles Martínez‐Zamora, X. Torres, Torres X, Ximena Torres, Munrós J, Jordina Munrós, Balasch Cortina J, Juan Balasch Cortina, Francisco Carmona
Gynecologic and obstetric investigation · 2016 · vol. 82(3) , pp. 240–246 · doi:10.1159/000447633 · PMID:27710968 · W2528391854
article OA: closed CC0 ⤵ 25 in-corpus citations
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This study found that pelvic pain in patients with deep infiltrating endometriosis was associated with adenomyosis, but other pain types did not correlate with specific lesion locations.

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Abstract

BACKGROUND: The identification of presurgical clinical markers may be helpful to allow the staging of endometriosis severity. It has been suggested that pain characteristics orientate the gynecologist about the anatomical involvement of endometriosis. The study was performed to analyze the correlation between pain symptoms and the anatomical location of endometriosis. METHODS: One hundred fifty-five consecutive patients with a complete removal of deep infiltrating endometriosis (DIE) were included. Prior to surgery, data on patient and disease characteristics were obtained. The intensity of the pain symptoms was registered using a Visual Analogue Scale. The endometriotic lesions were categorized according to the Enzian morphological classification. Correlation and multivariate analysis were performed to assess the potential associations between pain characteristics (dysmenorrhea, pelvic pain, dyschezia, dyspareunia or dysuria) and the location of endometriosis or other disease-related characteristics (hematuria, rectal bleeding or adenomyosis). RESULTS: Pelvic pain was significantly associated with the presence of adenomyosis. Dyschezia was correlated with rectal bleeding and dysuria with the presence of hematuria. No relationship was found between other kinds of pain and the morphological location of endometriosis or other disease-related characteristics. CONCLUSION: Our data suggest that pelvic pain is correlated with the presence of adenomyosis in women with DIE. Further studies are required.

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Outcome instruments

Enzian

Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_painadenomyosisdie_deep_infiltrating

MeSH descriptors

Adenomyosis Endometriosis Endometriosis Pain Measurement Adenomyosis Adult Constipation Constipation Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dysuria Dysuria Endometriosis Endometriosis Female Humans Middle Aged

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Cited by (27)

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