Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world

Maurizio Serati, Elena Cattoni, Cattoni E, Andrea Braga, Braga A, Stefano Uccella, Cromi A, Antonella Cromi, Fabio Ghezzi
Fertility and sterility · 2013 · vol. 100(5) , pp. 1332–1336 · doi:10.1016/j.fertnstert.2013.06.044 · PMID:23891020 · W2038264242
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This pilot study investigated the relationship between deep endometriosis and bladder/detrusor function in women without urinary symptoms, exploring an understudied area.

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Abstract

ObjectiveTo evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms.DesignProspective study.SettingAcademic research center.Patient(s)A total of 25 asymptomatic patients: 12 patients with DE (group 1) and 13 patients with ovarian endometriosis (group 2, control group).Intervention(s)Preoperative urodynamic evaluation.Main outcome measure(s)The impact of DE on urodynamic parameters.Result(s)For the first time, a urodynamic diagnosis of detrusor overactivity was correlated with the presence of deep infiltrating endometriosis (group 1, 91.7% [11/12] vs. group 2, 7.7% [1/13]). All involuntary detrusor contractions were detected only during the filling phase. All cystometry parameters were found to be altered in group 1 and statistically different between the two groups. No pressure/flow study parameter significantly differed between the two groups, besides maximal detrusor pressure (46 cmH2O [33-79] vs. 29 cmH2O [15-40]), which was significantly higher in group 1. Therefore, all detrusor-related parameters are statistically different between the two groups. Postvoid residual does not reach a statistically significant difference.Conclusion(s)DE could significantly impair detrusor functions. A preoperative urodynamic evaluation allows the attainment of important functional information, even in asymptomatic patients.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Ovarian Diseases Urinary Bladder Urinary Bladder, Overactive Adult Case-Control Studies Endometriosis Endometriosis Endometriosis Female Humans Ovarian Diseases Ovarian Diseases Ovarian Diseases Pilot Projects Predictive Value of Tests Preoperative Care Pressure Prospective Studies Retroperitoneal Space

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Cited by (25)

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