Infertilité et endométriose digestive : faut-il opérer ?

Mathilde Bourdon, Bourdon M, M. Bourdon, Santulli P, Piétro Santulli, P Santulli, Louis Marcellin, L Marcellin, Marcellin L, M C Lamau, M.-C. Lamau, Lamau MC, C Maignien, Maignien C, Chloé Maignien, C. Chapron, Charles Chapron, Chapron C
Gynecologie, obstetrique, fertilite & senologie · 2017 · vol. 45(9) , pp. 486–490 · doi:10.1016/j.gofs.2017.07.002 · PMID:28864051 · W2752964218
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This paper discusses the surgical management of digestive endometriosis in infertile patients.

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Abstract

Endometriosis is a benign chronic inflammatory disease, whose pathogenesis is still unclear. Endometriosis is responsible for infertility and/or pelvic pain. One of the most important features of the disease is the heterogeneity (clinical and anatomical: superficial peritoneal, ovarian and/or deep infiltrating lesions). Bowel involvement constitutes one particularly severe form of the disease, affecting 8-12% of women with deep endometriosis. In case of associated infertility, bowel endometriosis constitutes a real therapeutic challenge for gynecologists. Indeed, while complete resection of the lesions alleviates pain and seems to improve spontaneous fertility, surgery remains technically challenging and may cause severe complications. Reverting to assisted Reproductive Technology (ART) is another valuable therapeutic option regarding pregnancy rates. Thus, the choice between surgical management or ART is still debated. Benefits and risks of these two options should be considered and discussed before planning treatment. In the present study, we aimed to answer the question: Bowel endometriosis and infertility: do we need to operate?

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Infertility, Female Intestinal Neoplasms Endometriosis Endometriosis Female Humans Infertility, Female Intestinal Neoplasms Intestinal Neoplasms

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 (61)

Source provenance

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License: CC0 · commercial use OK