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

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Abstract

OBJECTIVE: The purpose of this study was to evaluate long-term results in patients who received conservative surgical treatment for rectovaginal endometriosis. STUDY DESIGN: We 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. RESULTS: The 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. CONCLUSION: Segmental 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.

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Condition tags

endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Endometriosis Rectal Diseases Rectal Diseases Vaginal Diseases Vaginal Diseases Adult Adult Age Factors Age Factors Disease-Free Survival Disease-Free Survival Endometriosis Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies

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 (10)

Cited by (50)

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