Quality of life following radical excision of rectovaginal endometriosis associated with complete obliteration of the posterior cul de sac
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Radical laparoscopic excision of rectovaginal endometriosis significantly reduces symptoms and improves quality of life, particularly for patients with severe pre-operative symptoms.
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Abstract
Objectives To review the available literature and studies, both published and unpublished on the effect of radical surgery for obliterative endometriotic cul de sac disease on the quality of life. Design Review of literature and audit studies of rectovaginal disease. Setting Two specialist endometriosis practices, one in the United States and the other in a UK district general hospital. Subjects Patients presenting with rectovaginal endometriosis. Interventions Radical laparoscopic excision. Main outcome measures Reduction of pain as measured on ranked ordinal, scales and quality of life measures. Results Radical laparoscopic surgery for the excision of rectovaginal endometriosis is associated with a significant diminution in symptoms and an improvement in quality of life. This is particularly so for patients who rated their symptoms as severe prior to surgery. Conclusion Initial studies show promising results for radical surgery. There is however, a need for randomized controlled trials and proper audit to assess the efficacy and morbidity of this surgery.
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Cited by (8)
- Association between chronic pelvic pain symptoms and the presence of endometriosis 2015
- The etiquette of endometriosis: stigmatisation, menstrual concealment and the diagnostic delay 2009
- Surgery for endometriosis-associated infertility: a pragmatic approach 2008
- Limited segmental anterior rectal resection for the treatment of rectovaginal endometriosis: pain and complications 2007
- What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis 2006
- What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis 2006
- Pain, quality of life and complications following the radical resection of rectovaginal endometriosis 2004
- Quality of life instruments in studies of chronic pelvic pain: a systematic review 2004
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- unpaywall
- last seen: 2026-10-13T06:25:51.201866+00:00
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