Quality of Life, Bowel and Urinary Functions After Surgery for Bowel Endometriosis

Esra Keleş
In: Haydarpasa Numune Training and Research Hospital Medical Journal · 2024 · pp. 391–397 · doi:10.14744/hnhj.2023.59329 · W4402679249
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This retrospective study found that surgery for rectosigmoid endometriosis significantly improved pain, bowel function, and quality of life three months postoperatively, while urinary symptoms remained unchanged.

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This retrospective cohort study evaluated pain symptoms, functional outcomes, and quality of life in patients undergoing laparoscopic segmental, discoid, or shaving resection for rectosigmoid deep infiltrating endometriosis. Researchers collected pre- and postoperative data using standardized scales to assess bowel function, urinary symptoms, and general health status at three months after surgery. The results indicated significant improvements in overall pain scores, constipation severity, and most aspects of quality of life, although mental health metrics and overactive bladder symptoms did not show statistically significant changes. This paper is centrally about endometriosis — specifically the surgical management and functional recovery associated with bowel involvement.

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Abstract

Introduction: This study aimed to evaluate pain symptoms, functional outcomes, and quality of life (QoL) before and after surgery for rectosigmoid endometriosis.Methods: We conducted a retrospective cohort study on patients who underwent laparoscopic segmental resection, discoid resection, or shaving for DIE in a tertiary referral hospital.Pre-and postoperative data based on surgical records and questionnaires covering bowel, urinary function, and QoL were collected.Visual Analogue Scale (VAS), Constipation Severity Scale (CSS), Overactive Bladder-Validated 8-questionnaire Screener (OAB-V8), and 36-item Short Form Health Survey (SF-36) were used as scales.Results: All measures of QoL except mental health were improved at three months after surgery.The median Visual Analogue Scale (VAS) pain score significantly decreased three months after surgery (p<0.001).Women surgically treated had significantly improved results on the Constipation Severity Scale (p<0.001).Overall Overactive Bladder-Validated 8-questionnaire Screener scores did not show any significant change after surgery when compared to the preoperative scores (p<0.001).There were few complications associated with surgery for rectosigmoid endometriosis.Discussion and Conclusion: Surgery for rectosigmoid endometriosis results in improvements in all aspects of pain and bowel functions three months after surgery.A significant and clinically relevant improvement in QoL, except for mental health, was observed three months after surgery.
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Introduction

This study aimed to evaluate pain symptoms, functional outcomes, and quality of life (QoL) before and after surgery for rectosigmoid endometriosis.

Methods

We conducted a retrospective cohort study on patients who underwent laparoscopic segmental resection, discoid resection, or shaving for DIE in a tertiary referral hospital. Pre- and postoperative data based on surgical records and questionnaires covering bowel, urinary function, and QoL were collected. Visual Analogue Scale (VAS), Constipation Severity Scale (CSS), Overactive Bladder-Validated 8-questionnaire Screener (OAB-V8), and 36-item Short Form Health Survey (SF-36) were used as scales.

Results

All measures of QoL except mental health were improved at three months after surgery. The median Visual Analogue Scale (VAS) pain score significantly decreased three months after surgery (p<0.001). Women surgically treated had significantly improved results on the Constipation Severity Scale (p<0.001). Overall Overactive Bladder-Validated 8-questionnaire Screener scores did not show any significant change after surgery when compared to the preoperative scores (p<0.001). There were few complications associated with surgery for rectosigmoid endometriosis.

Discussion

AND CONCLUSION: Surgery for rectosigmoid endometriosis results in improvements in all aspects of pain and bowel functions three months after surgery. A significant and clinically relevant improvement in QoL, except for mental health, was observed three months after surgery.

Keywords

Colorectal Resection, Deep-Infiltrating Endometriosis, Disc Resection, Endometriosis, Functional Scores, Quality of Life, Rectal Endometriosis, Shaving. Corresponding Author: Esra Keleş, Türkiye Manuscript Language: English Manuscript Language: English

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Outcome instruments

VAS-pain

Condition tags

endometriosisdie_deep_infiltratingbowel_endometriosis

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