94 months follow-up after laparoscopic assisted vaginal resection of septum rectovaginale and rectosigmoid in women with deep infiltrating endometriosis

Andreas Kavallaris, N Chalvatzas, A Hornemann, Amadeus Hornemann, C Banz, K Diedrich, A Agic
Archives of gynecology and obstetrics · 2010 · vol. 283(5) , pp. 1059–1064 · doi:10.1007/s00404-010-1499-9 · PMID:20458487 · W1991828409
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

Ninety-four-month follow-up of 30 women treated with laparoscopic assisted vaginal resection for rectovaginal endometriosis showed a low recurrence rate and significant symptom improvement.

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This study evaluated long-term outcomes after laparoscopic-assisted vaginal resection of the rectovaginal septum and rectosigmoid in 55 women with deep infiltrating rectovaginal endometriosis, using symptom questionnaires at a median 94-month follow-up for 30 women who completed a telephone interview. Among the respondents, 90% reported no clinical symptoms suggesting recurrence of intestinal endometriosis, while 6.6% had evidence of bowel endometriosis recurrence; dysmenorrhea, dyspareunia, and pelvic pain largely resolved in most patients. Pregnancy outcomes showed 65% (11/17) of those attempting conception became pregnant, with reported deliveries and live births. The authors note limitations due to the small number of follow-up patients. This paper is centrally about endometriosis — it reports 94-month surgical follow-up after radical laparoscopic-assisted vaginal resection for deep infiltrating rectovaginal and bowel endometriosis.

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Abstract

Background Endometriosis with bowel involvement is the most invasive form and can cause infertility, chronic pelvic pain and bowel symptoms. Effective surgical treatment of endometriosis requires complete excision of endometriosis and in same case may require segmental rectosigmoid resection.

Methods

Between December 1997 and October 2003, 55 patients with rectovaginal endometriosis underwent a combined laparoscopic vaginal technique. 30 patients were found at a follow-up and underwent a telephone interview. The questionnaire covered questions about symptoms related to recurrences of intestinal endometriosis, dyspareunia, dysmenorrhea and pregnancy.

Results

Twenty-seven of 30 (90%) women have no clinical symptoms of reported recurrence of endometriosis. Two patients (6.6%) had evidence of recurrence of bowel endometriosis. Dysmenorrhoea disappeared in 28 (93.3%), dyspareunia in 26 (86.7%) and pelvic pain in 27 (90%) patients. 17 patients (31%) tried to become pregnant and 11 of these patients (65%) became pregnant: 9 patients delivered healthy newborns, 18 pregnancies occurred and 19 healthy children were born.

Conclusions

Despite the small number of follow-up patients, our 94-month follow-up data demonstrated that endometriosis with bowel involvement and radical resection was associated with significant reductions in painful and dysfunctional symptoms, a low recurrence rate (6.6%) and high pregnancy rate (36.6%). Similar content being viewed by others

References

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Condition tags

endometriosisdie_deep_infiltrating

MeSH descriptors

Endometriosis Postoperative Complications Pregnancy Rate Rectal Diseases Vagina Adult Endometriosis Female Follow-Up Studies Germany Germany Humans Laparoscopy Middle Aged Postoperative Complications Pregnancy Rectal Diseases Rectum Rectum Recurrence

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