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
RCT OA: closed CC0 ⤵ 60 in-corpus citations
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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

OBJECTIVE: To evaluate urinary symptoms before and after colorectal resection for endometriosis using validated questionnaires. STUDY DESIGN: We 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. RESULTS: Dysuria 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). CONCLUSION: Our 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 Laparoscopy Postoperative Complications Postoperative Complications Rectal Diseases Adult Adult Colonic Diseases Colonic Diseases Dysuria Dysuria Dysuria Endometriosis Endometriosis Female Female Humans Humans

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 ]

References (23)

Cited by (50)

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