Conservative Surgical Treatment of Rectovaginal Septum Endometriosis
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Conservative vaginoabdominal surgery for extensive rectovaginal septum endometriosis in 11 young women improved pelvic pain and dyspareunia, with some infertile patients achieving pregnancy.
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Abstract
Between 1982 and 1991, we performed conservative operations on 11 women aged 23 to 39 years (mean 28 years) with extensive rectovaginal septum endometriosis. Before the intervention, severe deep dyspareunia was reported by 6 patients and moderate by 4, severe dysmenorrhea by 4 and moderate by 5, and severe acyclic pelvic pain by 2, moderate by 4, and mild by 1. The subjects underwent vaginoabdominal surgery with subtotal removal of the posterior vaginal fornix and excision of intraperitoneal endometriosis, with presacral neurectomy in 7 cases and low anterior rectal resection in 5. After a mean follow-up of 41 months, 6 women have no dyspareunia and 5 have mild discomfort, 4 have no dysmenorrhea, 3 have moderate and 4 mild menstrual pain, and 6 have mild acyclic disturbances. Three of nine infertile patients conceived. In selected young women wanting children, with pelvic pain symptoms unrelieved by medical treatment, a conservative vaginoabdominal surgical approach is feasible, and satisfactory therapeutic results can be obtained. (J GYNECOL SURG 8:177, 1992)
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Cited by (18)
- Surgery for Deep Endometriosis: A Pathogenesis-Oriented Approach 2009
- Endométriose pelvienne tumorale sous-péritonéale 2006
- Prise en charge chirurgicale des endométrioses de la cloison rectovaginale. À propos d’une série continue de 50 cas 2004
- Surgical management of endometriosis 2004
- REVIEW: Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Histopathological extent of rectal invasion by rectovaginal endometriosis 2003
- Endometriosis is a Surgical Disease 2003
- Prise en charge chirurgicale des nodules endométriosiques de la cloison recto-vaginale. A propos d'une série continue de 40 cas 2002
- Relationship between stage, site and morphological characteristics of pelvic endometriosis and pain 2001
- Laparoscopically assisted vaginal resection of rectovaginal endometriosis 2000
- Surgical management of endometriosis 2000
- LAPAROSCOPICALLY ASSISTED VAGINAL RESECTION OF RECTOVAGINAL ENDOMETRIOSIS 2000
- Biases in the endometriosis literature 1998
- of pelvic pain in women 1997
- The role of laparoscopy in the management of pelvic pain in women of reproductive age 1997
- Endometriosis and pelvic pain: relation to disease stage and localization 1996
- Endometriosis: Complications of CO2-laser endoscopic excision of deep endometriosis 1996
- Laparoscopy versus laparotomy in conservative surgical treatment for severe endometriosis 1996
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