Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis

A Kavallaris, Andreas Kavallaris, I Mebes, Imke Mebes, D Evagyelinos, A Dafopoulos, Alexandros Dafopoulos, Dániel Beyer, D A Beyer
Archives of gynecology and obstetrics · 2011 · vol. 283(5) , pp. 1021–1026 · doi:10.1007/s00404-010-1833-2 · PMID:21221979 · W1971042128
review OA: closed CC0 ⤵ 20 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This review compares surgical techniques for deep infiltrating endometriosis, finding nerve-sparing resections may reduce long-term bladder dysfunction compared to non-nerve-sparing methods.

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

This review article searched MEDLINE, EMBASE, and SCOPUS for trials in which women with deep infiltrating rectovaginal endometriosis involving the rectovaginal septum and uterosacral ligaments underwent operative resection, with follow-up outcomes related to dysfunctional bladder/rectal function. Across 16 included trials (follow-up ranging from 1 to 92 months and with heterogeneous reporting), postoperative symptoms such as dysmenorrhea, pelvic pain, and dyspareunia were commonly described, and the authors observed a tendency toward lower comorbidity after nerve-sparing resection. A major limitation emphasized by the paper is that identification of the inferior hypogastric nerve and plexus was feasible in only a minority of trials, contributing to variability in surgical assessment and outcomes. This paper is centrally about endometriosis—summarizing surgical follow-up of dysfunctional bladder and rectum after nerve-sparing versus non–nerve-sparing surgery for deep infiltrating rectovaginal disease.

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Condition tags

mesh:D004715endometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Rectal Diseases Urinary Retention Endometriosis Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Laparoscopy Rectal Diseases Urinary Retention Urinary Retention

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References (44)

Cited by (20)

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europepmc
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License: CC0 · commercial use OK