Endométriose profonde et fertilité

In: Physiologie, pathologie et thérapie de la reproduction chez l’humain · 2011 · pp. 325–330 · doi:10.1007/978-2-8178-0061-5_28 · W2155344000
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Endometriosis, affecting 10-15% of reproductive-aged women and up to 50% of infertile women, is characterized by endometrial tissue outside the uterus and may be increasing due to environmental factors.

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This chapter reviews endometriosis as a gynecologic condition defined by endometrial glands and stroma outside the uterus and summarizes epidemiologic estimates of its prevalence in reproductive-age and infertile women, noting data suggesting increasing incidence potentially linked to environmental factors. It outlines the context for understanding fertility impacts in relation to disease severity and discusses the rationale and evidence base for fertility-sparing approaches and diagnostic considerations in deep infiltrating disease, including how outcomes after surgical management are studied and interpreted. The chapter’s limitation is that, as a narrative review/chapter, it provides high-level synthesis rather than presenting original study data with a single, explicitly stated methods framework and caveats for each included evidence domain. Relevance to endometriosis: the chapter is specifically about “endométriose profonde et fertilité,” focusing on how deep infiltrating endometriosis relates to fertility outcomes, and it also references adenomyosis in the broader reproductive impairment context, including utero-tubal sperm transport in both endometriosis and adenomyosis.

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Résumé L’endométriose est une pathologie gynécologique définie par la présence de glandes endométriales et de stroma en dehors de l’utérus (1). Selon les estimations, elle affecterait de 10 à 15 % des femmes en période de reproduction et atteindrait 40 à 50 % chez les femmes infertiles (2). Des données épidémiologiques suggèrent une augmentation de l’incidence de l’endométriose du fait de l’impact de facteurs environnementaux (3–5). Preview Unable to display preview. Download preview PDF. Références Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ (1991) Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 55:759–765 Ballweg ML (2004) Impact of endometriosis on women’s health: comparative historical data show that the earlier the onset, the more severe the disease. Best Pract Res Clin Obstet Gynaecol 18:201–218 Birnbaum LS, Cummings AM (2002) Dioxins and endometriosis: a plausible hypothesis. Environ Health Perspect 110:15–21 Bois FY, Eskenazi B (1994) Possible risk of endometriosis for Seveso, Italy, residents: an assessment of exposure to dioxin. Environ Health Perspect 102:476–477 Reddy BS, Rozati R, Reddy BV, Raman NV (2006) Association of phthalate esters with endometriosis in Indian women. Bjog 113:515–520 Jenkins S, Olive DL, Haney AF (1986) Endometriosis: pathogenetic implications of the anatomic distribution. Obstet Gynecol 67:335–338 Macafee CH, Greer HL (1960) Intestinal endometriosis. A report of 29 cases and a survey of the literature. J Obstet Gynaecol Br Emp 67:539–555 Weed JC, Ray JE (1987) Endometriosis of the bowel. Obstet Gynecol 69:727–730 Bailey HR, Ott MT, Hartendorp P (1994) Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 37:747–753 Jerby BL, Kessler H, Falcone T, Milsom JW (1999) Laparoscopic management of colorectal endometriosis. Surg Endosc 13:1125–1128 Redwine DB, Wright JT (2001) Laparoscopic treatment of complete obliteration of the cul-de-sac associated with endometriosis: long-term follow-up of en bloc resection. Fertil Steril 76:358–365 Tran KT, Kuijpers H, Willemsen W, Bulten H (1996) Surgical treatment of symptomatic rectosigmoid endometriosis. Eur J Surg 162:139–141 Nisolle M, Casanas-Roux F, Anaf V, Mine JM, Donnez J (1993) Morphometric study of the stromal vascularization in peritoneal endometriosis. Fertil Steril 59:681–684 Vercellini P, Pietropaolo G, De Giorgi O, Daguati R (2006) Reproductive performance in infertile women with rectovaginal endometriosis: is surgery worthwhile? Am J Obstet Gynecol 195:1303–1310 Kennedy S, Bergqvist A, Chapron C et al. (2005) ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod 20:2698–2704 Adamson GD (2005) Laparoscopy, in vitro fertilization, and endometriosis: an enigma. Fertil Steril 84:1582–1584 Chapron C, Fritel X, Dubuisson JB (1999) Fertility after laparoscopic management of deep endometriosis infiltrating the uterosacral ligaments. Hum Reprod 14:329–332 Chapron C, Guibert J, Fauconnier A, Vieira M (2001) Adhesion formation after laparoscopic resection of uterosacral ligaments in women with endometriosis. J Am Assoc Gynecol Laparosc 8:368–373 Bazot M, Darai E, Hourani R et al. (2004) Deep pelvic endometriosis: MR imaging for diagnosis and prediction of extension of disease. Radiology 232:379–389 Darai E, Thomassin I, Barranger E et al. (2005) Feasibility and clinical outcome of laparoscopic colorectal resection for endometriosis. Am J Obstet Gynecol 192:394–400 Donnez J, Nisolle M, Smoes P et al. (1996) Peritoneal endometriosis and “endometriotic” nodules of the rectovaginal septum are two different entities. Fertil Steril 66:362–368 Nisolle M, Donnez J (1997) Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68:585–596 Abbott J, Hawe J, Hunter D et al. (2004) Laparoscopic excision of endometriosis: a randomized, placebo-controlled trial. Fertil Steril 82:878–884 Hollett-Caines J, Vilos GA, Penava DA (2003) Laparoscopic mobilization of the rectosigmoid and excision of the obliterated cul-de-sac. J Am Assoc Gynecol Laparosc 10:190–194 Carmona F, Martínez-Zamora A, González X et al. (2009) Does the learning curve of conservative laparoscopic surgery in women with rectovaginal endometriosis impair the recurrence rate? Fertil Steril 92:868–875 Stepniewska A, Pomini P, Bruni F et al. (2009) Laparoscopic treatment of bowel endometriosis in infertile women. Hum Reprod 24:1619–1625 Meuleman C, D’Hoore A, Van Cleynenbreugel B et al. (2009) Outcome after multidisciplinary CO2 laser laparoscopic excision of deep infiltrating colorectal endometriosis. Reprod Biomed Online 18:282–289 Le Tohic A, Chis C, Yazbeck C, Koskas M, Madelenat P, Panel P (2009) Bladder endometriosis: diagnosis and treatment. A series of 24 patients. Gynecol Obstet Fertil 37:216–221 Darai E, Thomassin I, Barranger E et al. (2007) Outcome of laparoscopic colorectal resection for endometriosis. Curr Opin Obstet Gynecol 19:308–313 Darai E, Marpeau O, Thomassin I et al. (2005) Fertility after laparoscopic colorectal resection for endometriosis: preliminary results. Fertil Steril 84:945–950 Ferrero S, Anserini P, Abbamonte LH et al. (2009) Fertility after bowel resection for endometriosis. Fertil Steril 92:41–46 Landi S, Mereu L, Pontrelli G et al. (2008) The influence of adenomyosis in patients laparoscopically treated for deep endometriosis. J Minim Invasive Gynecol 15:566–570 Kissler S, Zangos S, Wiegratz I et al. (2007) Utero-tubal sperm transport and its impairment in endometriosis and adenomyosis. Ann N Y Acad Sci 1101:38–48 Daraï E, Dubernard G, Lavoué V, Coutant C, Bazot M, Ballester M (2009) Determinant factors of fertility outcomes after colorectal resection for endometriosis. Eur J Obstet Gynecol Reprod Biol (in press) Daraï E, Coutant C, Frey C, Rouzier R, Ballester M (2009) Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life and fertility. Ann Surg (in press) Vercellini P, Somigliana E, Viganù P et al. (2009) Surgery for endometriosis-associated infertility: a pragmatic approach. Hum Reprod 24:254–269 Adamson D, (2008) Enodmetriosis Fertility Index (EFI): the new validated endometriosis staging system. World Congress on Endometriosis (Abstract):58 Younis JS, Jadaon J, Izhaki I et al. (2009) A simple multivariate score could predict ovarian reserve, as well as pregnancy rate, in infertile women. Fertil Steril (in press) Nezhat C, Nezhat F, Pennington E (1992) Laparoscopic treatment of infiltrative rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparoscopy and the CO2 laser. Br J Obstet Gynaecol 99:664–667 Possover M, Diebolder H, Plaul K, Schneider A (2000) Laparoscopically assisted vaginal resection of rectovaginal endometriosis. Obstet Gynecol 96:304–307 Lyons SD, Chew S, Thomson A et al. (2006) Clinical and quality-of-life outcomes after fertility-sparing laparoscopic surgery with bowel resection for severe endometriosis. J Minim Invasive Gynecol 13:436–441 Author information Authors and Affiliations Rights and permissions Copyright information © 2011 Springer-Verlag France, Paris About this chapter Cite this chapter Daraï, E., Seror, J., Coutant, C., Rouzier, R., Bazot, M., Ballester, M. (2011). Endométriose profonde et fertilité. In: Physiologie, pathologie et thérapie de la reproduction chez l’humain. Springer, Paris. https://doi.org/10.1007/978-2-8178-0061-5_28 Download citation DOI: https://doi.org/10.1007/978-2-8178-0061-5_28 Publisher Name: Springer, Paris Print ISBN: 978-2-8178-0060-8 Online ISBN: 978-2-8178-0061-5 eBook Packages: MedicineMedicine (R0)

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