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 OBJECTIVE: To evaluate urologic complications after colorectal resection for endometriosis. DESIGN: Cohort study (Canadian Task Force classification II-2). SETTING: Tertiary referral university hospital and expert center in endometriosis. PATIENTS: One hundred sixty-six women with colorectal endometriosis proven by transvaginal sonography and magnetic resonance imaging. INTERVENTION: Open or laparoscopic colorectal resection for endometriosis. MEASUREMENTS AND MAIN RESULTS: Forty-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). CONCLUSION: Colorectal 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 Postoperative Complications Urologic Diseases Vaginal Diseases Adult Adult Cohort Studies Cohort Studies Endometriosis Endometriosis Endometriosis Female Female Follow-Up Studies Follow-Up Studies Humans Humans Incidence

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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