Strategies for Management of Colorectal Endometriosis

Mauricio Simões Abrão, Giuliano Moysés Borrelli, Roberto Clarizia, Rosanne M. Kho, Marcello Ceccaroni, Rosanne Marie Kho, Maurício Simões Abrão
Seminars in reproductive medicine · 2016 · vol. 35(01) , pp. 065–071 · doi:10.1055/s-0036-1597307 · PMID:27951613 · W2561229323
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper outlines strategies for managing deep rectosigmoid endometriosis, emphasizing precise diagnosis and patient-specific treatment plans based on age, fertility desires, symptoms, and disease extent.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This paper reviews the management strategies for colorectal (especially rectosigmoid) deep endometriosis, emphasizing that an accurate, pre-treatment diagnosis—including disease extension and localization—is required. It discusses how treatment intensity can range from conservative to more radical approaches based on patient age, reproductive goals, symptoms, and the extent and location of disease, while noting the need to counsel patients selected for clinical treatment about follow-up and patients undergoing surgery about surgical options and complications. The authors present management as a framework rather than reporting new outcome data in this text, so specific comparative effectiveness among approaches is not established here. This paper is centrally about endometriosis — it focuses specifically on strategies for management of colorectal deep endometriosis.

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Abstract

Endometriosis has clearly three distinct clinical presentations and deep endometriosis, especially compromising the rectosigmoid is probably the most concerning one for both patients and surgeons. Currently, with the available tools, it is mandatory to have a precise diagnostic of this type of disease prior to indication of treatment. Strategies to manage this form of endometriosis will take into account several involved aspects, such as age of the patient, reproductive desire or infertility, clinical symptoms, as well as the extension and localization of the disease. Treatment could vary from more conservative to more radical depending on those aspects. As we pointed out in this article, the key to manage colorectal endometriosis is to start with a good diagnosis. Knowing exactly what is the extension and localization of the disease and knowing the patient's wishes as well as the clinical complaints, surgeons are able to define the best option for each patient. Critical points should always be discussed; for example, patients chosen to have clinical treatment should be aware of important issues regarding the follow-up, while patients undergoing surgery must be advised about all surgical possibilities and related complications.

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Condition tags

endometriosisinfertility

MeSH descriptors

Colonic Diseases Contraceptives, Oral, Hormonal Digestive System Surgical Procedures Digestive System Surgical Procedures Endometriosis Rectal Diseases Colonic Diseases Colonic Diseases Contraceptives, Oral, Hormonal Contraceptives, Oral, Hormonal Disease Progression Endometriosis Endometriosis Female Humans Predictive Value of Tests Rectal Diseases Rectal Diseases Risk Factors Treatment Outcome

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.

Cited by (25)

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License: CC0 · commercial use OK