Partial Colpectomy is a Risk Factor for Urologic Complications of Colorectal Resection for Endometriosis

Sonia Zilberman, Zilberman S, Ballester M, Marcos Ballester, Cyril Touboul, Touboul C, Elisabeth Chéreau, Chéreau E, E. Chéreau, Philippe Sèbe, Sèbe P, Bazot M, Marc Bazot, Daraï E, Émile Daraï, Emile Daraï
Journal of minimally invasive gynecology · 2012 · vol. 20(1) , pp. 49–55 · doi:10.1016/j.jmig.2012.08.775 · PMID:23131702 · W1976605404
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Partial colpectomy during colorectal resection for endometriosis was associated with an increased risk of subsequent urologic complications.

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Abstract

Study objectiveTo evaluate urologic complications after colorectal resection for endometriosis.DesignCohort study (Canadian Task Force classification II-2).SettingTertiary referral university hospital and expert center in endometriosis.PatientsOne hundred sixty-six women with colorectal endometriosis proven by transvaginal sonography and magnetic resonance imaging.InterventionOpen or laparoscopic colorectal resection for endometriosis.Measurements and main resultsForty-four patients (26.5%) experienced at least 1 urologic complication, including infection. Eight patients (4.8%) experienced postoperative symptomatic hydronephrosis requiring ureteral stent in 3 cases, a percutaneous nephrostomy in 1 case, and expectant management for the last 4. Urologic fistulas occurred in 5 patients (3%). Postoperative voiding dysfunction requiring self-catheterization was observed in 48 patients (28.9%). With univariate analysis, a relationship was found between voiding dysfunction and partial colpectomy (p = .001) and American Society of Reproductive Medicine total score (p = .02), and between the occurrence of urinary fistula and the use of prophylactic ureteral catheterization (p = .015) and parametrectomy (p = .02). A relationship was found between postoperative symptomatic hydronephrosis and the use of prophylactic ureteral catheterization (p = .003).ConclusionColorectal resection for endometriosis can lead to urologic complications, particularly for patients requiring partial colpectomy, of which patients need to be informed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Postoperative Complications Urologic Diseases Vaginal Diseases Adult Cohort Studies Endometriosis Endometriosis Female Follow-Up Studies Humans Incidence Laparoscopy Laparoscopy Magnetic Resonance Imaging Middle Aged Retrospective Studies Risk Factors Ultrasonography

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