Improvements in endometriosis management: update of the #Enzian score with a overview presentation of urogenital endometriosis, ureter subclassification and web-based tool for better documentation

This paper updates the #Enzian scoring system for endometriosis by introducing a novel ureter subclassification that distinguishes between intrinsic and extrinsic lesions, further categorized into types I through IV. The authors developed an interactive web-based tool to facilitate real-time documentation of these revised staging criteria, which was successfully tested to improve clinical efficiency and precision. Results indicate that incorporating this detailed ureteral classification significantly enhances the accuracy of endometriosis staging and supports better multidisciplinary treatment planning. This paper is centrally about endometriosis — specifically the refinement of surgical staging systems and digital documentation tools for urogenital involvement.

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