[Assessment of the urinary side effects after surgery for deep pelvic endometriosis].
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Laparoscopic surgery for deep pelvic endometriosis, particularly with colorectal or uterosacral ligament resection, resulted in various urinary side effects, with nerve-sparing techniques potentially reducing these complications.
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Abstract
OBJECTIVE: To evaluate the urinary side effects after laparoscopic surgery for deep endometriosis. PATIENTS AND METHOD: Longitudinal study including 86 patients operated for deep pelvic endometriosis : 58 (68%) with colorectal endometriosis, 21 (24%) with utero-sacral ligament endometriosis and 7 (8%) with recto-vaginal septum endometriosis. Assessment of the urinary side effects was permormed using the Bristole Female Lower Urinary Tract Symptom questionnaire. RESULTS: On postsurgical follow-up, almost all patients described: hesistancy (p = 0.02), strain to start (p = 0.04), stopping flow (p = 0.01), incomplete emptying (p = 0.008) and reduce stream (p=0.02). Only patients who had resection of both utero-sacral ligaments had significative postsurgical urinary dysfunction with stopping flow (p = 0.02) and incomplete emptying (p = 0.004). Patients with colorectal resection had also significative postsurgical urinary dysfunction with hesitancy (p = 0.02), strain to start (p = 0.03), stopping flow (p = 0.007) and incomplete emptying (p = 0.004). In patients with rectal resection, urinary dysfunctions are raised when rectal resection is associated to resection of both utero-sacral ligaments. CONCLUSION: Postoperatively, urinary side effects occurred only in patients with segmental colorectal endometriosis resection associated with bilateral utero-sacral ligament resection. Sparing nerve surgery of the pelvic nerves, can reduce these urinary side effects.
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Cited by (11)
- Is high-intensity focused ultrasound a magical solution to endometriosis? A systematic review 2024
- Persistent urinary retention after deep infiltrating endometriosis surgery: to consider modification in patient selection or modification in surgical approach and extent? - An ethical challenge 2024
- Magnetic resonance imaging classification of deep pelvic endometriosis: description and impact on surgical management 2020
- Troubles vésico-sphinctériens associés à l’endométriose profonde : revue de la littérature 2017
- Évolution des symptômes et de la qualité de vie des patientes après chirurgie de l’endométriose digestive 2013
- Surgical Therapy of Endometriosis: Challenges and Controversies 2013
- Rapport anatomique du ligament utérosacré et du nerf hypogastrique pour la chirurgie des lésions d’endométriose profonde 2013
- ¿Por qué la endometriosis infiltrativa profunda debe ser considerada una entidad diferente a la endometriosis peritoneal? 2012
- Preoperative Evaluation of Posterior Deep-Infiltrating Endometriosis Demonstrates a Relationship with Urinary Dysfunction and Parametrial Involvement 2010
- Laparoscopic nerve-sparing surgery of deep infiltrating endometriosis: description of the technique and patients’ outcome 2010
- Troubles urinaires associés au traitement chirurgical de l’endométriose profonde: intérêt de la chirurgie avec préservation nerveuse 2008
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- pubmed
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