Diagnosis and treatment of rectovaginal endometriosis: an overview

Christina Kruse; Kruse C; Mikkel Seyer-Hansen; Mikkel Seyer‐Hansen; Seyer-Hansen M; Axel Forman

doi:10.1111/j.1600-0412.2012.01367.x

Diagnosis and treatment of rectovaginal endometriosis: an overview

Christina Kruse, Kruse C, Mikkel Seyer-Hansen, Mikkel Seyer‐Hansen, Seyer-Hansen M, Axel Forman

Acta obstetricia et gynecologica Scandinavica · 2012 · vol. 91(6) , pp. 648–657 · doi:10.1111/j.1600-0412.2012.01367.x · PMID:22268648 · W1946293703

Review OA: closed CC0 ⤵ 18 in-corpus citations

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This review details diagnostic imaging, medical therapies, and surgical approaches for rectovaginal endometriosis, emphasizing local excision for superficial infiltration and segmental resection for deep rectal involvement.

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Abstract

Rectovaginal endometriosis can be a cause of severe pain, dyspareunia and intestinal problems. A thorough examination is needed and should include diagnostic imaging, such as transvaginal or transrectal ultrasound or magnetic resonance imaging. Medical therapies, such as oral contraceptives, progestins and levonorgestrel-releasing intrauterine devices, all seem to reduce pain and should always be considered. Surgical treatment is challenging and implies a risk of severe complications. It is preferable to treat endometriotic lesions with superficial infiltration into the rectal wall by local laparoscopic excision, while segmental rectal resection is needed in the case of severe intestinal infiltration. This review describes available diagnostic tools, the possibilities for medical treatment and the alternative surgical approaches.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_painbowel_endometriosis

MeSH descriptors

Endometriosis Endometriosis Rectal Diseases Rectal Diseases Vaginal Diseases Vaginal Diseases Administration, Intravaginal Administration, Intravaginal Aromatase Inhibitors Aromatase Inhibitors Aromatase Inhibitors Barium Sulfate Barium Sulfate Colon Colon Colon Constipation Constipation Constipation Constipation

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (100)

Cited by (19)

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