Long-term follow-up after conservative surgery for rectovaginal endometriosis

Luigi Fedele, Stefano Bianchi, Zanconato G, Giovanni Zanconato, Bettoni G, Gaia Bettoni, Gotsch F, Francesca Gotsch
American journal of obstetrics and gynecology · 2004 · vol. 190(4) , pp. 1020–1024 · doi:10.1016/j.ajog.2003.10.698 · PMID:15118634 · W2072958973
article OA: closed CC0 ⤵ 178 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study reports long-term outcomes following conservative surgical management of rectovaginal endometriosis, detailing recurrence rates and patient satisfaction.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

ObjectiveThe purpose of this study was to evaluate long-term results in patients who received conservative surgical treatment for rectovaginal endometriosis.Study designWe analyzed the follow-up data for 83 women who underwent surgery for rectovaginal endometriosis. The inclusion criteria were age 20 to 42 years, moderate-to-severe pain symptoms, conservative treatment with retention of the uterus, and at least 1 ovary; the follow-up period was > or =12 months. Kaplan-Meier analysis and Cox regression were used to calculate recurrence rates.ResultsThe cumulative rates of pain recurrence, clinical or sonographic recurrence, and new treatment were 28%, 34%, and 27%, respectively. The younger patients had the higher risk of recurrence. Pregnancy had protective effects against the recurrence of symptoms and a need for a new treatment. Patients who underwent bowel resection had fewer recurrences.ConclusionSegmental resection and anastomosis of the bowel, when necessary, improves the outcome without affecting chances of conception. Higher recurrence rates in younger patients seems to justify a more radical treatment in this group of women.

My notes (saved in your browser only)

Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Endometriosis Rectal Diseases Rectal Diseases Vaginal Diseases Vaginal Diseases Adult Age Factors Disease-Free Survival Endometriosis Endometriosis Endometriosis Female Follow-Up Studies Gynecologic Surgical Procedures Humans Italy Italy Outcome Assessment, Health Care Proportional Hazards Models

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 (10)

Cited by (50)

Source provenance

europepmc
last seen: 2026-08-11T06:11:44.160905+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:12:32.173627+00:00
unpaywall
last seen: 2026-06-13T06:42:57.164913+00:00
License: CC0 · commercial use OK