Pelvic Endometriosis - A Survey of Knowledge and Practice Among Gynecologists Endometriose Pélvica - Enquete com Médicos Ginecologistas

William Kondo, Paulo Afonso Monteiro Pacheco Guimarães, Viviane Margareth Scant Amburlo, Monica Tessmann Zomer
2012 · W2188779701
article OA: closed CC0 Metadata only
View on OpenAlex
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

A survey of 40 Brazilian gynecologists revealed varied knowledge and practice regarding endometriosis diagnosis, treatment, and surgical management, indicating a need for further education.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Purpose: Endometriosis affects a large number of reproductive age women. Clinical manifestations of the disease are cyclic pelvic pain and infertility. W omen with endometriosis usually seek medical advice from a gynecologist for their symptoms. The role of the gynecologist is therefore crucial in identifying, treating, and, when appropriatey, referring these patients promptly to specialised centers. Methods: A brief questionnaire was completed anonymously by 40 Brazilian gynecologists. Results: 67.5% of the respondents perform surgery for endometriosis. Approximately half (55%) of the respondents stated that the physical examination can diagnose cases of deeply infiltrating endometriosis; 92.5% do not exclude the possibility of deep endometriosis when serum CA-125 levels are normal. Magnetic resonance imaging, transvaginal ultrasound and colonoscopy are important in the preoperative assessment of the patient for 72.5%, 70%, and 62.5% of the respondents. For 62.5% of the respondents, GnRH analogues are the best medical management for endometriosis. Only 17.5% of the gynecologists think that all hormone-based treatments have similar outcomes. Although 80% of gynecologists responded that complete resection of the disease is the best treatment for deep lesions, 44% of the gynecologists that perform surgery for endometriosis recommend only diagnostic laparoscopy in these cases. Only 7.4% of the respondents are able to treat deep endometriosis with bowel involvement without the aid of a general surgeon or a colorectal surgeon. Conclusions: More education is required among gynecologists on the subject of endometriosis, in order to identify and treat patients with this disease. Referral to a center with the necessary expertise to offer all available treatments in a multi-disciplinary context is important to improve the surgical outcomes of deep infiltrating endometriosis.

My notes (saved in your browser only)

Condition tags

endometriosisdie_deep_infiltratinginfertility

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (34)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK