Endométriose et douleurs pelvipérinéales chroniques

Roman H, Horace Roman, H. Roman, Bourdel N, Nicolas Bourdel, N Bourdel, J. Rigaud, Delavierre D, D Delavierre, Labat JJ, J.-J. Labat, L. Sibert, Sibert L
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie · 2010 · vol. 20(12) , pp. 1010–1018 · doi:10.1016/j.purol.2010.08.007 · PMID:21056379 · W1983855303
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⚙ AI-generated summary by claude@2026-07, 2026-07-06 ⓘ

This paper explores the relationship between endometriosis and chronic pelvic-perineal pain, investigating diagnostic and therapeutic approaches.

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Abstract

ObjectivesTo analyse pathophysiology and clinical symptoms of chronic pelvic pain and their therapeutic care.Material and methodsReview of articles and consensus conferences published on this subject in the Medline(®) (PubMed(®)) database.ResultsPain importance and endometriosis lesion size are somewhat linked. In the case of chronic pains, endometriosis lesions are not always the only cause of the pain. Imaging consists mostly of MRI and transvaginal ultrasonography. Treatment must be offered to patients with painful endometriosis. Hormonal treatment meant to cause amenorrhea is recommended to improve dysmenorrhea, dyspareunia and chronic pains. Endometriosis should be confirmed by pathological or surgical findings, before prolonged treatment is undergone. Prolonged postoperative amenorrhea significantly decreases pain and lesion relapse. Surgical treatment is effective on painful symptoms and is recommended in the event of painful endometriosis. Undergoing surgery is recommended only if individual benefit exceeds risk.ConclusionsSurgical treatment should aim at improving symptoms rather than systematically removing every endometriosis lesion. Diagnosis of endometriosis lesion at an early stage is currently a major part of public health policy.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Chronic Disease Endometriosis Endometriosis Endometriosis Female Humans Pelvic Pain

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 (66)

Cited by (10)

Source provenance

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