External genital endometriosis: treatment and rehabilitation

А. Г. Солопова, Е. Е. Ачкасов, V. S. Moskvichyova, E. Grigorevskaya, D. М. Ampilogova
In: Obstetrics, Gynecology and Reproduction · 2020 · vol. 15(1) , pp. 70–79 · doi:10.17749/2313-7347/ob.gyn.rep.2020.148 · W3103343913
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This review systematizes data on treatment and personalized rehabilitation programs for women with external genital endometriosis to improve quality of life and social adaptation.

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This paper aimed to systematize evidence from the last five years on treatment and rehabilitation strategies for women with external genital endometriosis, using searches across major scientific databases for relevant literature. Across the reviewed material, it highlights that endometriosis can involve dysmenorrhea, dyspareunia, chronic pelvic pain, and adjacent-organ urinary or bowel symptoms, and is associated with emotional and psychosexual disorders, reduced socialization, and the need to diagnose relapses to avoid potential malignant transformation of endometriotic tissue. The authors conclude that care should include combined treatment plus personalized rehabilitation programs to improve quality of life and support social adaptation, but the approach is limited by being a narrative literature systematization without presenting new trial data. This paper is centrally about endometriosis — it focuses specifically on treatment and rehabilitation for external genital endometriosis.

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Abstract

Aim : to systematize the data on rehabilitation methods and management tactics for women with external form of genital endometriosis. Materials and Methods . We searched for publications in the international scientific databases: scientific electronic library eLibrary, Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE released for the last 5 years. The data on the current approach to the therapy and rehabilitation of women with external genital endometriosis are presented in the study. Search queries in Russian and English were used as follows: «endometriosis», «rehabilitation», «gynecology», «quality of life». Results . Endometriosis is considered an independent risk factor for the development of malignant tumors not only targeting the reproductive system, but also affecting large intestine, bladder, and mammary glands. Moreover, such patients often suffer from emotional and psychosexual disorders as well as impaired socialization. Special attention should be paid to diagnostics of disease relapses to avoid potential malignant transformation of endometrioid tissue. We also provide a current view on the treatment and rehabilitation of women with external genital endometriosis. Endometriosis is a polyetiological disease that can be manifested as dysmenorrhea, dyspareunia, chronic pelvic pain, as well as dysuria and dyschesia upon affecting adjacent organs in the pathological process. Finally, we provide insights into potential therapeutic approaches for solving such manifestations. Conclusion . It is necessary not only to conduct a combination treatment, but also develop personalized rehabilitation programs allowing to improve the quality of patient life as well as create comfortable conditions for social adaptation of women with endometriosis.
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Abstract

Aim: to systematize the data on rehabilitation methods and management tactics for women with external form of genital endometriosis.

Materials

and Methods. We searched for publications in the international scientific databases: scientific electronic library eLibrary, Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE released for the last 5 years. The data on the current approach to the therapy and rehabilitation of women with external genital endometriosis are presented in the study. Search queries in Russian and English were used as follows: «endometriosis», «rehabilitation», «gynecology», «quality of life». Results. Endometriosis is considered an independent risk factor for the development of malignant tumors not only targeting the reproductive system, but also affecting large intestine, bladder, and mammary glands. Moreover, such patients often suffer from emotional and psychosexual disorders as well as impaired socialization. Special attention should be paid to diagnostics of disease relapses to avoid potential malignant transformation of endometrioid tissue. We also provide a current view on the treatment and rehabilitation of women with external genital endometriosis. Endometriosis is a polyetiological disease that can be manifested as dysmenorrhea, dyspareunia, chronic pelvic pain, as well as dysuria and dyschesia upon affecting adjacent organs in the pathological process. Finally, we provide insights into potential therapeutic approaches for solving such manifestations. Conclusion. It is necessary not only to conduct a combination treatment, but also develop personalized rehabilitation programs allowing to improve the quality of patient life as well as create comfortable conditions for social adaptation of women with endometriosis. About the Authors A. G. SolopovaRussian Federation Antonina G. Solopova - MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991. Scopus Author ID: 6505479504 Researcher ID: Q-1385-2015 E. E. Achkasov Russian Federation Evgeniy E. Achkasov - MD, Dr Sci Med, Professor, Head of the Department of Sports Medicine and Rehabilitation, Sklifosovsky Institute of Clinical Medicine, Sechenov University. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991. V. S. Moskvichyova Russian Federation Viktoriya S. Moskvichyova - Clinical Resident, Department of Sports Medicine and Rehabilitation, Sklifosovsky Institute of Clinical Medicine, Sechenov University. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991. Scopus Author ID: 57201495137 Researcher ID: H-2410-2019 E. Grigorevskaya Russian Federation Evana Grigorevskaya - Postgraguate Student, Department of Obstetrics and Gynecology, Filatov Clinical Institute of Children's Health, Sechenov University. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991. D. M. Ampilogova Russian Federation Diana M. Ampilogova - 5th year Student, Sklifosovsky Institute of Clinical Medicine, Sechenov University. 2 bldg. 4, Bolshaya Pirogovskaya Str., Moscow 119991.

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