Endometriosis: Necessary and Sequential Therapeutic Procedures and Guidelines

Valerio M. Jasonni
In: Urologia Journal · 2010 · vol. 77(17_suppl) , pp. 12–15 · doi:10.1177/0391560310077017s02 · W4241571115
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This review defines endometriosis diagnosis, staging, and therapeutic guidelines, concluding that direct visualization via laparoscopy is essential for accurate diagnosis and staging, with surgery offering the best results but medical therapy used for pain relief.

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Abstract

Objectives TO define the actual guidelines about the therapy of endometriosis. Methods. A brief review of the literature for the correct diagnosis of endometriosis and the medical and surgical approach. Results It is well accepted that the gold standard of endometriosis diagnosis is the direct vision of the disease with laparoscopy or the presence of endometriosis implants in vagina or cervix. Staging must be performed along with the distribution, and depth and bowel involvement must be noted. Symptoms intensity is not related to the degree of endometriosis. Therapy, medical or surgical, should be chosen in relation to symptoms and the disease degree, keeping in mind that surgery is the approach that may offer better results. Conclusions The direct vision of the disease is the only method to obtain the correct diagnosis and an accurate staging. However, ultrasound can be helpful in cases of pelvic localization and in the follow-up of the disease. Moreover, MRI can be employed, especially in cases with particular endometriosis implant, e.g. gluteus muscle. Surgery offers the best results but some medical therapy, especially hormonal therapy, is often employed for the relief of pains.

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endometriosis

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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.

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