[Morbidity and functional long-term follow-up of patients with surgical treatment of urinary tract endometriosis]

Berling T, T. Berling, P-A Bolze, Bolze PA, Pierre‐Adrien Bolze, Berthiller J, J Berthiller, Julien Berthiller, Dubernard G, Gil Dubernard, G Dubernard, G. Lamblin, Lamblin G, Paparel P, P. Paparel, François Golfier, F. Golfier, Golfier F
Gynecologie, obstetrique, fertilite & senologie · 2017 · vol. 45(6) , pp. 327–334 · doi:10.1016/j.gofs.2017.05.006 · PMID:28552755 · W2618206409
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This paper reviews the morbidity and functional consequences of surgery for urinary endometriosis.

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Abstract

OBJECTIVE: To assess postoperative complications, improvement of pain symptoms and residual urinary functional symptoms after surgery for deep infiltrative endometriosis affecting ureter or bladder. METHODS: Retrospective study of complications (Clavien-Dindo classification), pain (visual analog scale [VAS]) and urinary functional symptoms (Urinary Symptom Profile questionnaire [USP]) of patients surgically treated between 2007 and 2015 in University Hospitals of Lyon. RESULTS: Among 31 patients with endometriosis involving the bladder, 83.9% had a partial cystectomy and 16.1% an extra-mucosal resection. Among patients (n=20) with ureteral involvement, 85% had ureterectomy with ureterocystoneostomy and 15% had only ureterolysis. Grade III postoperative complications occurred in 6% and 0% of patients with bladder or ureteral surgery, respectively and no grade IV or V complications were reported. Mean bladder VAS dropped from 5.3±4.2 to 0.3±0.9 after a follow-up of 42 months (P<0.0001). In patients with ureteral involvement, mean flank VAS dropped from 3.6 to 0.9 after a follow-up of 33 months (P<0.0005). Mean postoperative USP score for dysuria and detrusor overactivity were 1.35/9 and 2.48/21 in case of bladder involvement, and 1.10/9 and 2.15/21 in case of ureteral involvement. CONCLUSION: Multidisciplinary surgical management of deep infiltrative endometriosis affecting urinary tract was associated to a low risk of severe postoperative complications and to a long-term significant improvement of pain symptoms without significant residual functional urinary symptoms.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Postoperative Complications Ureteral Diseases Urinary Bladder Diseases Urologic Surgical Procedures Adult Adult Endometriosis Endometriosis Female Female Humans Humans Pain Pain Pain Postoperative Complications Postoperative Complications Retrospective Studies Retrospective Studies

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 ]

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