Urinary dysfunction after colorectal resection for endometriosis: results of a prospective randomized trial comparing laparoscopy to open surgery

Ballester M, Marcos Ballester, E. Chéreau, Elisabeth Chereau, Chereau E, Gil Dubernard, Dubernard G, Charles Coutant, Coutant C, Marc Bazot, Bazot M, Emile Daraï, Émile Daraï, Daraï E
American journal of obstetrics and gynecology · 2011 · vol. 204(4) , pp. 303.e1–303.e6 · doi:10.1016/j.ajog.2010.11.011 · PMID:21256472 · W2053931839
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This randomized trial investigated urinary dysfunction after colorectal resection for endometriosis, comparing laparoscopic versus open surgical approaches.

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Abstract

ObjectiveTo evaluate urinary symptoms before and after colorectal resection for endometriosis using validated questionnaires.Study designWe randomly assigned 52 patients with colorectal endometriosis to undergo laparoscopically assisted or open colorectal resection. The median follow-up was 19 months. Urinary symptoms were evaluated using the International Prostate Score Symptom and the Bristol Female Low Urinary Tract Symptoms questionnaires.ResultsDysuria was observed in 29% of cases postoperatively. Using Bristol Female Low Urinary Tract Symptoms and International Prostate Score Symptom scores, an alteration was observed for voiding symptoms (P = .01 and P = .006, respectively). No difference was observed between the laparoscopy and the open surgery group. An alteration of the International Prostate Score Symptom voiding symptoms was observed in the group that did not undergo nerve sparing surgery (P = .048). An alteration of the International Prostate Score Symptom voiding symptoms was observed for patients who underwent vaginal resection (P = .01) and parametrial resection (P = .02).ConclusionOur findings confirm that colorectal resection for endometriosis is a source of urinary dysfunction whatever the surgical route.

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Condition tags

endometriosis

MeSH descriptors

Colonic Diseases Endometriosis Laparoscopy Postoperative Complications Rectal Diseases Adult Colonic Diseases Dysuria Dysuria Endometriosis Female Humans Prospective Studies Quality of Life Rectal Diseases Self Care Surveys and Questionnaires Urinary Catheterization Urinary Catheterization Urination Disorders

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