[Deep pelvic endometriosis: management and proposal for a "surgical classification"]

C. Chapron, Charles Chapron, Chapron C, Jean Dubuisson, Dubuisson JB, J B Dubuisson, Chopin N, ChopinNicolas, Nicolás Chopin, N Chopin, H. Foulot, Foulot H, S Jacob, Jacob S, Simon N. Jacob, Vieira M, M Vieira, Habib Barakat, Barakat H, H Barakat, A Fauconnier, Fauconnier A, Arnaud Fauconnier
Gynecologie, obstetrique & fertilite · 2003 · vol. 31(3) , pp. 197–206 · doi:10.1016/s1297-9589(03)00045-6 · PMID:12770802 · W2012643338
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This paper discusses the therapeutic management of deep pelvic endometriosis and proposes a new surgical classification system.

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Abstract

Deep pelvic endometriosis presents essentially in the form of a painful syndrome dominated by deep dyspareunia and painful functional symptoms that recur according to the menstrual cycle, with the semiology directly correlated with the location of the lesions (bladder, rectum). It is essential to investigate these deep endometriosis lesions and draw up a precise map, which is the only way to be sure that exeresis will be complete. The treatment of first intention remains surgery, and medical treatment is only palliative in the majority of cases. Success of treatment depends on how radical surgical exeresis is. Based on analysis of the anatomical distribution of deep pelvic endometriosis lesions, a "surgical classification" is proposed with the aim of establishing standard modes for surgical treatment. Further studies are required to clarify the place and modes for pre- and postoperative medical treatment.

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Condition tags

dyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Adnexal Diseases Adnexal Diseases Endometriosis Endometriosis Adnexal Diseases Adnexal Diseases Adnexal Diseases Adult Adult Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Female Female Humans Humans Pelvic Pain

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 (83)

Cited by (44)

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License: CC0 · commercial use OK