LETTER TO THE EDITOR

Poor results after surgery for rectovaginal endometriosis can be related to uterine adenomyosis Sir, The interesting paper by Mabrouk et al. (2012) suggests that it may be useful to reconsider the surgical strategy for bowel endometriosis, which may carry a high risk of major complications and, even after ex-tensive bowel resection, may have no beneficial effect. The authors used extensive preoperative imaging, including transvaginal ultrasound (TVS) and magnetic resonance imaging (MRI), to diagnose colorectal endometriosis. However, in no case was the presence of uterine ade-nomyosis mentioned. Today, uterine adenomyosis is diagnosed by MRI or TVS and several authors have described the association with endo-metriosis (Brosens et al., 2011). In a prospective study Kissler et al.