Are symptoms after a colorectal segmental resection in deep endometriosis really improved? The point of view of women before and after surgery
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This study found that laparoscopic colorectal resection for deep endometriosis significantly improved women's quality of life and several pain symptoms, though not all gastrointestinal or urinary symptoms resolved.
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Abstract
INTRODUCTION: Bowel endometriosis can cause debilitating symptoms. Surgical colorectal resection is often required for symptomatic relief. Aim of our study was to evaluate quality of life over a one-year follow-up period in patients submitted to a colorectal resection for the treatment of deep endometriosis. Change in intestinal and extra-intestinal symptoms, and reproductive outcome were also evaluated. METHODS: A prospective observational study was conducted on a cohort of 20 women affected by intestinal endometriosis and submitted to a laparoscopic colorectal resection. The subjects completed a questionnaire about quality of life (SF-36), and they scored in a 100-point rank questionnaire gynecological, urinary and gastrointestinal symptoms, pre-operatively and one- year postoperatively. RESULTS: Significant improvements were observed in all domains of the SF-36 throughout the study period. Dysmenorrhea, dyspareunia and not menstrual pelvic pain showed a significant decrease 1 year after surgery. There was also a decrease in abdominal pain, rectal bleeding and constipation but not of nausea, abdominal pain, defecation pain, tenesmus, diarrhea, mucorrhea. Also some urinary symptoms did not improve. CONCLUSIONS: The radical surgical approach has a positive impact on quality of life, although it does not improve all the symptoms complained before surgery. Clear pre-surgical counseling and careful patient selection is suggested.
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Cited by (8)
- A Gender Perspective on Coloproctological Diseases: A Narrative Review on Female Disorders 2024
- The efficacy of GnRH-a followed by SanJieZhenTong capsules in long-term management of endometriosis: Study protocol for a multicenter, double-blinded, double-dummy randomized clinical trial 2023
- Quality of life and low anterior resection syndrome before and after deep endometriosis surgery 2022
- Postoperative Assessment of the Quality of Life in Patients with Colorectal Endometriosis 2021
- Postoperative Assessment of the Quality of Life in Patients with Colorectal Endometriosis 2021
- Evaluation of the SF‑36 questionnaire for assessment of the quality of life of endometriosis patients undergoing treatment: A systematic review and meta‑analysis 2021
- The impact of laparoscopic surgery on the symptoms and wellbeing of patients with deep infiltrating endometriosis and bowel involvement 2020
- Surgery for Endometriosis Improves Major Domains of Quality of Life: A Systematic Review and Meta-Analysis 2018
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- europepmc
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- openalex
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- pubmed
- last seen: 2026-05-13T22:19:55.107525+00:00
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