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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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

OBJECTIVE: To evaluate the impact of deep endometriosis (DE) on bladder function, focusing on detrusor pattern, in patients without preoperative urinary symptoms. DESIGN: Prospective study. SETTING: Academic 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 Adult Case-Control Studies Case-Control Studies Endometriosis Endometriosis Endometriosis Endometriosis Female Female Humans Humans Ovarian Diseases Ovarian Diseases Ovarian Diseases Ovarian Diseases

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (30)

Cited by (25)

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