Diagnosis and treatment of posterior deep infiltrating endometriosis:A report of 81 cases

Objective To study the diagnosis and treatment of posterior deep infiltrating endometriosis(PDIE).Methods Data about 3 246 endometriosis patients admitted to our hospital from January 1999 to December 2009 were analyzed.Of the 81 PDIE patients(3.28%) who were treated with operation,17(20.98%) underwent partially rectodectomy with end-to-end anatomosis,and 64(79.02%) underwent endometriotic focus excision.Results After operation,the pain was significantly relieved in 50(69.44%) patients,mildly relieved in 12(16.67%) patients,and did no relieve in 10(13.89%) patients.Nine patients(11.11%) were lost of follow-up,8(12.5%) patients underwent rectodectomy with repair of rectal wall,and 6 patients(7.4%) were misdiagnosed as rectum tumor.Conclusion The diagnosis of PDIE should be standardized.PDIE should be treated by alleviating its symptoms.Selection of surgical procedure depends on the patient's condition and the operator's skills.Complications should be minimized.