Preoperative evaluation of posterior deep-infiltrating endometriosis demonstrates a relationship with urinary dysfunction and parametrial involvement

Marcos Ballester, Ballester M, Santulli P, Pietro Santulli, Piétro Santulli, Bazot M, Marc Bazot, Coutant C, Charles Coutant, Roman Rouzier, Daraï E, Émile Daraï, Emile Daraï
Journal of Minimally Invasive Gynecology · 2010 · vol. 18(1) , pp. 36–42 · doi:10.1016/j.jmig.2010.08.692 · PMID:20934922 · W2049315154
Non-randomised trial OA: closed CC0 ⤵ 40 in-corpus citations
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Preoperative evaluation of posterior deep-infiltrating endometriosis revealed a correlation between the extent of disease and the presence of urinary dysfunction and involvement of the parametrium.

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Abstract

STUDY OBJECTIVE: To estimate the association between urinary symptoms and quality of life in patients with posterior deep-infiltrating endometriosis (DIE) with anatomical locations of endometriosis. DESIGN: Prospective nonrandomized study (Canadian Task Force classification II-2). SETTING: Tertiary care hospital. PATIENTS: One hundred fifty-three patients with DIE and 28 control subjects. INTERVENTIONS: Clinical examination completed using transvaginal ultrasonography and magnetic resonance imaging. MEASUREMENTS AND MAIN RESULTS: Urinary symptoms and quality of life were evaluated using the International Prostate Symptom Score (IPSS) and Bristol Female Lower Urinary Tract Symptoms (BFLUTS) questionnaires. There was a higher incidence of urinary symptoms and a high IPSS in patients with posterior DIE compared with the control group. The IPSS questionnaire detected a relation between parametrial endometriosis and voiding symptoms (p = .03), altered quality of life (p = .02), and a high total score (p = 0.04) in patients with posterior DIE. No difference in urinary symptoms and total BFLUTS score was observed between the groups. A relation was found between parametrial endometriosis and urinary symptoms (p = .02), altered quality of life (p = .04), and high total score (p = .03) in patients with posterior DIE. At multivariable analysis, a correlation was found between parametrial endometriosis and IPSS total score (p = .03), IPSS voiding symptoms (p = .04), and IPSS quality of life (p = .009). Similarly, a correlation was found between parametrial endometriosis and BFLUTS symptoms (p = .003), BFLUTS quality of life (p = .003), and BFLUTS total score (p = .007). CONCLUSION: Patients with posterior DIE have a high incidence of urinary symptoms. Moreover, parametrial endometriosis is associated with altered urinary function and should be systematically evaluated in these patients.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Preoperative Care Preoperative Care Quality of Life Quality of Life Urologic Diseases Urologic Diseases Adult Adult Case-Control Studies Case-Control Studies Endometriosis Endometriosis Female Female Humans Humans Incidence Incidence Middle Aged

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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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