Segmental Rectum Resection for Deep Endometriosis and Excision Similarly Improve Sexual Function and Pain

Fernanda de Almeida Asencio, Raphael Jose Palhares Fins, Carolina Kami Mitie, Anastasia Ussia, Arnaud Wattiez, Arnauld Wattiez, Helizabet Salomão Abdalla Ayroza Ribeiro, Helizabet Salomao Ribeiro, Paulo Ayrosa Ribeiro, Paulo Ayroza Ribeiro, Philippe R. Koninckx
Clinics and practice · 2023 · vol. 13(4) , pp. 780–790 · doi:10.3390/clinpract13040071 · PMID:37489420 · W4383909681
article OA: gold CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Both segmental rectum resection and conservative excision for deep endometriosis similarly improved sexual function and pain, with pain reduction explaining sexual function improvements.

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Abstract

Segmental rectum resections for indications other than endometriosis were reported to result in up to 40% sexual dysfunctions. We, therefore, evaluated sexual function after low bowel resection (n = 33) for deep endometriosis in comparison with conservative excision (n = 23). Sexual function was evaluated with the FSFI-19 (Female Sexuality Functioning Index) and EHP 30 (Endometriosis Health Profile). The pain was evaluated with visual analogue scales. Linear excision and bowel resections improved FSFI, EHP 30, and postoperative pain comparably. By univariate analysis, a decreased sexual function was strongly associated with pain both before (p < 0.0001) and after surgery (p = 0.0012), age (p = 0.05), and duration of surgery (p = 0.023). By multivariate analysis (proc logistic), the FSFI after surgery was predicted only by FSFI before or EHP after surgery. No differences were found between low bowel segmental resection and a more conservative excision. In conclusion, improving pain after surgery can explain the improvement in sexual function. A deleterious effect of a bowel resection on sexual function was not observed for endometriosis. Sexual function in women with endometriosis can be evaluated using a simplified questionnaire such as FSFI-6.

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Outcome instruments

EHP-30

Condition tags

endometriosis

Citation neighborhood

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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