Endometriose de septo retovaginal: doença de diagnóstico e tratamento específicos

Mauricio Simões Abrão, Maurício Simões Abrão, Rosa Maria Neme, Marcelo Averbach
Arquivos de gastroenterologia · 2003 · vol. 40(3) , pp. 192–197 · doi:10.1590/s0004-28032003000300011 · PMID:15029397 · W1992475482
review OA: diamond CC0 ⤵ 21 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This paper describes rectovaginal septum endometriosis, a frequent disease characterized by intense symptoms and specific diagnostic and surgical treatment approaches.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This review studied rectovaginal septum endometriosis by describing its clinical presentation in reproductive-age women and summarizing diagnostic approaches and surgical indications at a high level, including history/exam plus rectal evaluation and endoscopic or contrast-based methods. It reports that involvement of the rectovaginal septum, rectum, and sigmoid can produce severe cyclic symptoms such as dysmenorrhea, deep dyspareunia, tenesmus, and cyclic hematochezia, and that the usual decision for surgery is driven by symptom intensity and failure of conservative therapy. The paper concludes that the treatment of choice is surgical resection of affected tissue and emphasizes that correct localization and assessment of disease extension toward the rectum, uterosacral ligaments, and the rectovaginal septum are crucial for effective outcomes, with an explicit caveat that deeper-seated forms may have specific biological behaviors and variable responsiveness discussed in the literature it reviews. This paper is centrally about endometriosis — it focuses on rectovaginal septum endometriosis, detailing its diagnosis and surgical management.

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Abstract

BACKGROUND: The involvement of the rectovaginal septum, of rectum and sigmoid by endometriosis leads to intense symptoms as dysmenorrhea, pelvic pain, deep dyspareunia, tenesmus and hematochezia in young and middle aged women during periods. The diagnosis can be made by tipycal history and vaginal examination, rectal examination, barium enema, proctoscopy and so on. The indications of operation include severe clinic symptoms and failed conservative therapy. The treatment of choice for this type of endometriosis is the surgical resection of affected tissue, in order to relieve patient symptoms, and avoid disease progression. The correct assessment as to the presence and extension of the endometriosis-affected sites such as the rectum, uterosacral ligaments and rectovaginal septum is extremely important to provide better results with the surgical treatment of endometriosis. AIM: To describe the main aspects related to rectovaginal septum endometriosis and offer the general surgeon some information about this enigmatic disease. CONCLUSION: Rectovaginal septum endometriosis is a frequent disease, with specific diagnosis and treatment.

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Condition tags

endometriosisdysmenorrheadyspareunia

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Rectal Diseases Rectal Diseases Rectal Diseases Rectal Diseases Vaginal Diseases Vaginal Diseases Vaginal Diseases Vaginal Diseases Female Humans

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (20)

Cited by (21)

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