Outcomes and treatment options in rectovaginal endometriosis
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This review examines recent literature on colorectal surgery for rectovaginal endometriosis, finding rectal excision beneficial for quality of life and disease recurrence, though more trials are needed.
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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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Outcomes and treatment options in rectovaginal endometriosis
- Kenneth R Emmanuel
- Colin Davis
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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References (17)
- A double‐blind randomised controlled trial of laparoscopic uterine nerve ablation for women with chronic pelvic pain via openalex
- An open and randomized study comparing the efficacy of standard danazol and modified triptorelin regimens for postoperative disease management of moderate to severe endometriosis via openalex
- Deep Pelvic Endometriosis: MR Imaging for Diagnosis and Prediction of Extension of Disease via openalex
- Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis via openalex
- Is rectovaginal endometriosis a progressive disease? via openalex
- Laparoscopic uterosacral ligament resection for dysmenorrhea associated with endometriosis: results of a randomized, controlled trial via openalex
- Long-term follow-up after conservative surgery for rectovaginal endometriosis via openalex
- Pain, quality of life and complications following the radical resection of rectovaginal endometriosis via openalex
- Pre and post-operative medical therapy for endometriosis surgery via openalex
- Prise en charge chirurgicale des endométrioses de la cloison rectovaginale. À propos d’une série continue de 50 cas via openalex
- Résection cœlioscopique du colon-rectum pour endométriose : résultats préliminaires via openalex
- Surgical management of endometriosis via openalex
- Symptoms before and after surgical removal of colorectal endometriosis that are assessed by magnetic resonance imaging and rectal endoscopic sonography via openalex
- The effectiveness of laparoscopic excision of endometriosis via openalex
- W2024158781 via openalex
- W6716353671 via openalex
- W6825204538 via openalex
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
- 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
- Mesenteric vascular and nerve sparing surgery in laparoscopic segmental intestinal resection for deep infiltrating endometriosis 2018
- Endometriosis 2017
- Laparoscopic Surgery for Rectovaginal Endometriosis: A Retrospective Descriptive Study from a Single Centre 2016
- Full-Thickness Excision versus Shaving by Laparoscopy for Intestinal Deep Infiltrating Endometriosis: Rationale and Potential Treatment Options 2016
- A Case of Cecal Endometriosis Presenting as Subepithelial Tumor 2016
- Rectovaginal endometriosis : pain treatment options 2016
- Pre-conception Risk Assessment: Gynaecological Problems 2016
- Role and Technique of Nerve-Sparing Surgery in Deep Endometriosis 2015
- Feasibility and Safety of Laparoscopic-Assisted Bowel Segmental Resection for Deep Infiltrating Endometriosis: A Retrospective Cohort Study With Description of Technique 2015
- Rectovaginal endometriosis – analysis of 160 cases. 2015
- Colorectal resection in deep pelvic endometriosis: Surgical technique and post-operative complications 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
- Effect of laparoscopic surgery for moderate and severe endometriosis on depression, relationship satisfaction and sexual functioning: comparison of patients with and without bowel resection 2013
- Clinical Outcome After Radical Excision of Moderate—Severe Endometriosis With or Without Bowel Resection and Reanastomosis 2013
- Impact of laparoscopic colorectal segment resection on quality of life in women with deep endometriosis: one year follow-up 2013
- Mini-laparoscopic surgery versus conventional laparoscopic surgery for patients with endometriosis 2013
- 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
- Surgical treatment of rectovaginal endometriosis with rectal involvement 2011
- Laparoscopic versus laparotomic radical en bloc hysterectomy and colorectal resection for endometriosis 2010
- Complications, pregnancy and recurrence in a prospective series of 500 patients operated on by the shaving technique for deep rectovaginal endometriotic nodules 2010
- Treatment of endometriosis with laparoscopic surgery today 2010
- Medical treatment for rectovaginal endometriosis: what is the evidence? 2009
- Intestinal Endometriosis Mimicking Carcinoma of Rectum and Sigmoid Colon: A Report of Five Cases 2009
- Laparoscopic excision of rectovaginal endometriosis: report of a prospective study and review of the literature 2009
- The early outcome of laparoscopic sigmoid and rectal resection for endometriosis 2009
- Deep pelvic endometriosis: from diagnosis to wellness 2009
- Deep Pelvic Endometriosis: From Diagnosis to Wellness 2009
- Surgery for Deep Endometriosis: A Pathogenesis-Oriented Approach 2009
- Outcome after multidisciplinary CO2 laser laparoscopic excision of deep infiltrating colorectal endometriosis 2009
- Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? 2008
- Surgery for endometriosis-associated infertility: a pragmatic approach 2008
- Identification of novel antigens in blood vessels in rectovaginal endometriosis 2007
- Quality of life after laparoscopic colorectal resection for endometriosis 2006
- Reproductive performance in infertile women with rectovaginal endometriosis: Is surgery worthwhile? 2006
- Ten Estrogen-Related Polymorphisms and Endometriosis 2005
- Avaliação dos resultados do tratamento cirúrgico de pacientes portadoras de endometriose do septo retovaginal 2005
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