Symptoms before and after surgical removal of colorectal endometriosis that are assessed by magnetic resonance imaging and rectal endoscopic sonography

Thomassin I, Isabelle Thomassin, Marc Bazot, Bazot M, Romain Detchev, Detchev R, Emmanuel Barranger, Barranger E, A. Cortez, Annie Cortez, Cortez A, Émile Daraï, Emile Darai, Darai E
American journal of obstetrics and gynecology · 2004 · vol. 190(5) , pp. 1264–1271 · doi:10.1016/j.ajog.2003.12.004 · PMID:15167828 · W2095516592
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This study evaluated the symptoms experienced by patients before and after surgical removal of colorectal endometriosis using magnetic resonance imaging and rectal endoscopic sonography.

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Abstract

OBJECTIVE: The purpose of this study was to evaluate the impact of colorectal resection for endometriosis on symptoms and quality of life or on potential side effects. STUDY DESIGN: After magnetic resonance imaging and rectal endoscopic sonographic evaluations of symptomatic colorectal endometriosis, 27 consecutive women who underwent colorectal resection were included in this prospective study. They completed symptom questionnaires before and after the procedure. Linear pain scores for several gynecologic and digestive symptoms and impact on quality of life were recorded. RESULTS: The sensitivity and positive predictive value of magnetic resonance imaging and rectal endoscopic sonographic evaluation for the diagnosis of colorectal endometriosis were 92.6% and 100% and 89% and 100%, respectively. Nonmenstrual pelvic pain (P = .001), dysmenorrhea (P < .0001), dyspareunia (P = .0002), and pain on defecation (P < .005) were improved by colorectal resection. No correlation was found between symptom intensity and lesion size, as evaluated by magnetic resonance imaging, rectal endoscopic sonographic evaluation, or histologic examination of the surgical specimen. Respectively, the conditions of 14, 11, 0, and 2 women were cured, improved, unchanged, or worsened. Median overall pre- and postoperative quality-of-life scores were 9 (range, 4-10) and 0 (range, 0-10), respectively (P < .0001). CONCLUSION: Colorectal resection for endometriosis appears to relieve some symptoms. However, women should be informed that some symptoms may persist and that there is a risk of urinary and digestive side effects.

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Condition tags

endometriosis

MeSH descriptors

Colorectal Neoplasms Endometriosis Endosonography Endosonography Quality of Life Quality of Life Adult Adult Colectomy Colectomy Colectomy Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Female Female 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 (38)

Cited by (50)

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