[Detrusor sphincter disorders associated with deep endometriosis: Systematic review of the literature]

A Grouin, Amélie Grouin, Grouin A, AB Florian, A Florian, Florian A, A C Sans Mischel, Sans Mischel AC, A Mischel, Toullalan O, Olivier Toullalan, O Toullalan
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie · 2017 · vol. 28(1) , pp. 2–11 · doi:10.1016/j.purol.2017.10.009 · PMID:29170015 · W2768742470
Systematic review / meta-analysis OA: closed CC0
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This literature review examined vesicosphincteric disorders associated with deep endometriosis, analyzing their prevalence, symptoms, diagnostic methods, and management strategies.

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Abstract

CONTEXT: Detrusor sphincter disorders impact quality of life in case of deep endometriosis. Surgery, which is one of the main treatments, is responsible of detrusor sphincter disorders. Since then, it is essential to look for those disorders and find the right medical care. OBJECTIVE: To specify the detrusor sphincter disorders, its links with anatomical localisation of deep endometriosis and its prognosis after surgery. METHODS: A literature review was carried out via PubMed® with the followings keywords: "deep endometriosis", "urinary disorders", "voiding dysfunction" and "urinary dysfunction". Prospective and retrospective studies as well as previous reviews were analyzed. RESULTS: Concerning bladder deep endometriosis, detrusor sphincter disorders are observed in more than 50%. Resection of the lesions allows a clear improvement or even a disappearance of the disorders. Concerning the deep endometriosis of the posterior part of the pelvis, disorders are highlighted even if women do not complain of urinary trouble. Detrusor sphincter disorders are observed in 2 to 50% and women with colorectal localisation have the highest rate. Resection of the lesions improves the symptoms described preoperatively but also provides de novo disorders of up to 47.5%. In terms of prevention, the nerve sparing surgery respects the pelvic nerve plexus, and reduces post-operative morbidity to less than 1%. CONCLUSIONS: Detrusor sphincter disorders associated with deep endometriosis have a prognosis if their management is adapted. Well-conducted interviews and standardized questionnaires is necessary to diagnosis them. Urodynamic test may be discussed in case of bladder endometriosis, including for urinary asymptomatic patients. The management of the detrusor sphincter disorders requires a complete resection of the nodules of deep endometriosis. In the case of posterior endometriosis, a dissection must be performed respecting the retroperitoneal vegetative nerves.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Urinary Bladder Diseases Urination Disorders Endometriosis Endometriosis Female Female Humans Humans Urinary Bladder Diseases Urinary Bladder Diseases Urination Disorders Urination Disorders

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 (42)

Cited by (1)

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