Outcomes and treatment options in rectovaginal endometriosis
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Abstract
PURPOSE OF REVIEW: This review aims to explore the recent literature surrounding the role of colorectal surgery in rectovaginal endometriosis. RECENT FINDINGS: Recent findings would suggest that excision of a portion of the rectum along with complete excision of surrounding endometriosis is beneficial in terms of improvement in quality of life and recurrence of disease. However, further randomized controlled trials are needed to clarify this finding. SUMMARY: The optimal management of women with deeply infiltrating rectovaginal endometriosis remains a challenge to physicians involved in this disease process. The choice between medical and surgical treatments is not clearly defined, and neither is the role of adjunctive medical therapy prior to or following surgery. It is only when these questions have been asked in the context of well conducted clinical trials, with good outcome data, can the answers be given.
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Cited by (45)
- Endometriosis 2025
- Analysis of factors that could affect symptomatic outcome in patients having laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres 2021
- Effect of Retaining the Uterus During Anterior Resection for Rectosigmoid Bowel Endometriosis 2020
- Prospective Evaluation of Outpatient Flexible Sigmoidoscopy in Patients With Deep Infiltrating Endometriosis 2020
- Laparoscopic excision of deeply infiltrating endometriosis: a prospective observational study assessing perioperative complications in 244 patients 2019
- Mesenteric vascular and nerve sparing surgery in laparoscopic segmental intestinal resection for deep infiltrating endometriosis 2018
- Laparoscopic excision of deep rectovaginal endometriosis in BSGE endometriosis centres: a multicentre prospective cohort study 2018
- Combined Transvaginal/Transabdominal Pelvic Ultrasonography Accurately Predicts the 3 Dimensions of Deep Infiltrating Bowel Endometriosis Measured after Surgery: A Prospective Study in a Specialized Center 2018
- Endometriosis 2017
- Full-Thickness Excision versus Shaving by Laparoscopy for Intestinal Deep Infiltrating Endometriosis: Rationale and Potential Treatment Options 2016
- Laparoscopic Surgery for Rectovaginal Endometriosis: A Retrospective Descriptive Study from a Single Centre 2016
- Rectovaginal endometriosis : pain treatment options 2016
- Pre-conception Risk Assessment: Gynaecological Problems 2016
- A Case of Cecal Endometriosis Presenting as Subepithelial Tumor 2016
- Rectovaginal endometriosis – analysis of 160 cases. 2015
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- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications 2015
- Role and Technique of Nerve-Sparing Surgery in Deep Endometriosis 2015
- External Validation of the SF-36 Quality-of-Life Questionnaire in Italian and Brazilian Populations to Select Patients With Colorectal Endometriosis for Surgery 2014
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- Clinical outcome after laparoscopic radical excision of endometriosis and laparoscopic segmental bowel resection 2012
- Deep rectovaginal endometriotic nodules: perioperative complications from a series of 3,298 patients operated on by the shaving technique 2012
- Peritoneal, Ovarian, and Rectovaginal Endometriosis are Three Different Entities 2011
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