The association of clinical symptoms with deep infiltrating endometriosis: the importance of the preoperative clinical assessment
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This study developed and validated a clinical scoring system using patient symptoms to predict the preoperative existence of deep infiltrating endometriosis, aiding surgical planning.
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Abstract
Over the last several years, with improvements in laparoscopic surgical techniques, specialized surgical teams have successfully been able to safely excise deep endometriosis lesions that infiltrate into and may compromise the bladder, bowel, ureter and other pelvic regions. Excision of deep infiltrating endometriosis (DIE) lesions warrant special surgical approaches and may necessitate either additional training or a multidisciplinary team of general surgeons and urologists working alongside gynecologists. Lafay Pillet and her colleagues are surgical specialists at a well-recognized referral center of excellence for these challenging endometriosis cases. In their paper included in this issue of the Human Reproduction, they address a key aspect of the surgical management of DIE lesions (Lafay Pillet et al., 2014). Using clinical symptoms, they develop a clinical scoring system which helps to predict the existence of DIE lesions preoperatively. With validation of this model, it has the potential to help surgeons identify which women may have DIE lesions and thus aid in planning the surgical approach to these patients.
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References (9)
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Cited by (6)
- Prise en charge des douleurs dans le cadre de l’endométriose 2024
- Adipose tissue-derived mesenchymal stem cells reduce endometriosis cellular proliferation through their anti-inflammatory effects 2021
- [Conventional analgesics and non-pharmacological multidisciplinary therapeutic treatment in endometriosis: CNGOF-HAS Endometriosis Guidelines] 2018
- Bladder Endometriosis: A Rare but Challenging Condition 2017
- The Effect of Mesenchymal Stem Cells on Fertility in Experimental Retrocervical Endometriosis 2017
- Parasitic Myomas and an Adenomyoma Obstructing the Ureter After Power Morcellation of Myomas and Endometriotic Nodule Resection 2016
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- europepmc
- last seen: 2026-10-14T06:08:39.101224+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:13:52.854593+00:00
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