[Diagnosis and management of 57 cases with rectovaginal endometriosis].

Wang WX; Wen-Xiang Wang; Wenxiang Wang; Peng ZL; Zhi-Lan Peng; Zhilan Peng

doi:10.3785/j.issn.1008-9292.2009.05.017

[Diagnosis and management of 57 cases with rectovaginal endometriosis].

Wang WX, Wen-Xiang Wang, Wenxiang Wang, Peng ZL, Zhi-Lan Peng, Zhilan Peng

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2009 · vol. 38(5) , pp. 531–4 · doi:10.3785/j.issn.1008-9292.2009.05.017 · PMID:19830869 · W2461290618

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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-13 ⓘ

This study analyzed 57 rectovaginal endometriosis cases, finding complete excision of nodules to be the primary treatment method, with no recurrence in the recto-vaginal septum post-surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This paper reports the diagnosis and management of 57 cases of rectovaginal endometriosis, describing how the condition was identified and treated in the study cohort. The key finding is that the authors’ approach allowed these patients to be managed based on their diagnostic presentation, with outcomes summarized across the series. The main limitation is that the report reflects a relatively small, case-series experience without a controlled comparison group. This paper is centrally about endometriosis — specifically rectovaginal endometriosis diagnosis and management in 57 cases.

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Abstract

OBJECTIVE: To study the diagnosis and therapy of the rectovaginal endometriosis. METHODS: Clinical data of 57 women with rectovaginal endometriosis admitted to the West China Second University Hospital of Sichuan University in last two years,were retrospectively reviewed. RESULT: The average age of patients was 40.1 years. The main clinical manifestations were dysmenorrheal, changes of menorrhea and digestive stimulation. The diameter of deep endometriosis nodules was between 1-6 cm, and 77% were found to have more than one nodules. Seven of these patients had positive results in transvaginal ultrasonography; 61%(11/18) patients had elevated CA125 levels. Thirteen patients were given preoperational medical treatment, but had no effect. All patients, except one accepted laparotomic therapy of complete excision of endometriosis nodules; 23 cases underwent drug therapy after operation. No patients had recurrence in recto-vaginal septum after complete excision; only one recurred in right ovary. Patients who failed to remove the total lesion showed improvement in pain. CONCLUSION: Diagnosis of the rectovaginal endometriosis is based on symptoms, vaginal and rectal examination, and auxiliary examination. Complete excision of endometriosis nodules is the main therapeutic method.

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Condition tags

dysmenorrheaendometriosisbowel_endometriosis

MeSH descriptors

Endometriosis Laparoscopy Rectal Diseases Vaginal Diseases Adult Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Endosonography Endosonography Female Humans Laparoscopy Middle Aged Rectal Diseases Rectal Diseases Retrospective Studies Vaginal Diseases

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