Persistent urinary retention after deep infiltrating endometriosis surgery: to consider modification in patient selection or modification in surgical approach and extent? - An ethical challenge

Farzaneh Sharifiaghdas, Behzad Narouie, Marzieh Jamali, Hamidreza Rouientan
In: Journal of Endometriosis and Uterine Disorders · 2024 · vol. 6 , pp. 100069 · doi:10.1016/j.jeud.2024.100069 · W4392382579
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⚙ AI-generated summary by claude@2026-07, 2026-07-11 ⓘ

This paper discusses the ethical challenge of patient selection and surgical approach modifications needed to mitigate the risk of persistent urinary retention following deep infiltrating endometriosis surgery.

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Abstract

• Deep Infiltrating Endometriosis (DIE) affects around 20% of women with endometriosis, causing endometriotic lesions that penetrate pelvic structures, leading to symptoms like pelvic pain, digestive issues, and infertility. • Surgery is often required for moderate to severe cases, but it carries the risk of complications, such as persistent urinary retention, which can significantly impact the patient's quality of life. • Balancing the benefits of surgery with the risk of complications is a challenge in achieving optimal outcomes. Surgery for endometriosis aims to remove abnormal tissue and symptoms, but it may damage pelvic nerves, causing urinary retention.

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Condition tags

endometriosisdie_deep_infiltratinginfertility

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