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

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.