Évaluation fonctionnelle urinaire et urodynamique préopératoire de patientes présentant une endométriose profonde pelvienne chirurgicale : à propos de 23 patientes

C. de Lapasse, C. Chis, F. Renouvel, P. Panel
In: Pelvi-périnéologie · 2008 · vol. 3(4) , pp. 279–283 · doi:10.1007/s11608-008-0217-6 · W1583050209
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Preoperative urodynamic assessment revealed urinary dysfunction in 82.6% of 23 patients with deep endometriosis, suggesting frequent pre-existing neurological involvement.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This prospective descriptive non-comparative study evaluated preoperative urinary functional symptoms and quantified urodynamic findings in 23 consecutive patients scheduled for surgical management of deep pelvic endometriosis infiltrating the uterosacral ligaments and/or the anterior rectal face and/or the uterine torus, using symptom history, pelvic imaging (ultrasound and MRI), and preoperative urodynamic testing after ruling out urinary infection. While 26.1% reported no urinary symptoms, 17 patients had at least one urinary sign, but only 17.4% had a strictly normal urodynamic study; most abnormalities were consistent with a neurologic-type dysfunction (e.g., urethral hypertonia/instability, dysuria, sphincter insufficiency) and only one case showed bladder involvement on imaging. The authors state there was no correlation between preoperative urinary disorders and the intraoperative localization of disease. This paper is centrally about endometriosis — it characterizes the high frequency and urodynamic pattern of preoperative urinary dysfunction in patients with deep endometriosis involving uterosacral ligaments and/or the rectum, with adenomyosis also identified in imaging.

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