[Evolution of symptoms and quality of life of patients after surgery of digestive endometriosis]

Bailly E, E. Bailly, Margulies AL, A.-L. Margulies, A. Letohic, Letohic A, Fraleu-Louër B, B. Fraleu-Louër, Renouvel F, F. Renouvel, P. Panel, Panel P
Gynecologie, obstetrique & fertilite · 2013 · vol. 41(11) , pp. 627–634 · doi:10.1016/j.gyobfe.2013.09.010 · PMID:24183578 · W2072495292
Non-randomised trial OA: closed CC0 ⤵ 16 in-corpus citations
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This study analyzed the evolution of symptoms and quality of life in patients following digestive endometriosis surgery.

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Abstract

OBJECTIVES: Prospective evaluation of symptoms and quality of life before and after surgical treatment of endometriosis with bowel involvement. PATIENTS AND METHODS: Changes in symptoms, sexuality and quality of life before and after surgery of 41 patients operated for bowel endometriosis at the centre hospitalier de Versailles (CHV) were assessed with a self-assessment questionnaire. Pains were assessed using five visual analog scales, symptoms using 26 questions with a four-level Likert item, sexuality using the SEXACQ, and quality of life using the EHP-5 and the EQ-5D VAS. RESULTS: Surgical treatment improves pain: VAS scores for main pain (P<0.0001), dysmenorrhea (P=0.0039), defecation pain (P=0.0312), non-cyclic pelvic pain (P=0.0002), and dyspareunia (P=0.0084). Twelve intestinal symptoms are improved, including three significantly. It also improves SEXACQ score (P=0.0068) and quality of life scores EHP-5 and EQ-5D VAS (P=0.0001 and P=0.0003 respectively). No difference was found between disk resection and segmental resection in terms of symptoms, sexuality and quality of life. Histological analysis suggests that when a segmental resection is done, the stage of the endometriosis bowel involvement is more advanced. DISCUSSION AND CONCLUSION: Surgery of bowel endometriosis improves symptoms and quality of life. When the stage of the bowel endometriosis is advanced, a segmental resection should be done. Moreover, self-assessment questionnaire used at the CHV seems an appropriate tool to evaluate functional outcome.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Diseases Quality of Life Quality of Life Adult Adult Endometriosis Endometriosis Female Female Humans Humans Intestinal Diseases Intestinal Diseases Prospective Studies Prospective Studies Sexuality Sexuality Surveys and Questionnaires Surveys and Questionnaires

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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