[Urinary functional disorders bound to deep endometriosis and to its treatment: review of the literature]

L Campin, Campin L, Laetitia Campin, Bruno Borghese, B Borghese, Marcellin L, L Marcellin, Louis Marcellin, Piétro Santulli, Santulli P, P Santulli, A Bourret, Antoine Bourret, Bourret A, Charles Chapron, Chapron C, C. Chapron
Journal de gynecologie, obstetrique et biologie de la reproduction · 2014 · vol. 43(6) , pp. 431–442 · doi:10.1016/j.jgyn.2014.03.003 · PMID:24831568 · W1981418236
Review OA: closed CC0 ⤵ 15 in-corpus citations
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This review synthesizes literature on urinary dysfunction associated with deep endometriosis and its treatment, examining the impacts of the condition and therapeutic interventions.

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Abstract

Lower urinary tract disorders in case of deep endometriosis are common (up to 50% of patients), although often masked by pelvic pain. They result from damage to the pelvic autonomic nervous system by direct infiltration of these structures by endometriotic lesions or surgical trauma (especially in resection of the uterosacral ligaments, rectum or vagina). These are mainly sensory disturbances and bladder voiding dysfunction. They impact quality of life and could be responsible for long-term complications (recurrent urinary tract infections on a persistent residual urine or pelvic floor disorders due to chronic thrusting). It is therefore important to diagnose and treat early these troubles by well-conducted interviews or standardized questionnaires. Different drug treatments have been proposed, such as cholinergics or prokinetics, but their effectiveness has not been demonstrated yet. Neuromodulation of the superior hypogastric plexus for treatment of refractory atonic bladder with persistent urinary retention after surgery seems promising but should be confirmed by further studies. To date, standard treatment of urinary retention after surgery remains self-catheterization. In terms of prevention, surgical nerve sparing techniques have been developed in order to minimize intraoperative injury of pelvic nerve plexus and reduce postoperative morbidity.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Postoperative Complications Urologic Diseases Urologic Diseases Urologic Diseases Urologic Diseases Urologic Diseases Endometriosis Endometriosis Endometriosis Female Female Humans Humans Postoperative Complications Postoperative Complications Postoperative Complications

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 (66)

Cited by (14)

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